My rescue mutt has so many issue- autoimmune hypothyroidism and IBD, severe hip dysplasia, chronic pancreatitis, general anxiety, and extreme separation anxiety. He has better healthcare than most humans- his team includes a Phd in canine nutrition, a swim and massage therapist, a doggy psychiatrist, and an internist. I have found swimming, massage, and green-lipped mussel supplement has helped his hips. A good probiotic has helped the GI issues. He does require more effort than many dogs, but it’s worth it since he’s also the reason I get out of bed in the morning!