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I have a 14 year old min pin. His hair started to come out in places and he had small patches of irritated skin. His veterinarian tried him on several different medications and medicated shampoo but nothing worked. The medicated shampoo actually made it worse as it irritated his skin. His veterinarian told me he didn't know what else to do for him. Nothing was working. A friend at work told me about Skout's Honor Probiotic Shampoo so I decided to give it a try. I could tell a difference within a few washes. It has been a slow process but his hair is growing back and his skin is no longer irritated. It looks so much better. I don't usually write reviews but this product is AMAZING!! I will definitely continue to use this product and I'm so thankful for the way it has helped my dog's skin.