I give my kids bully sticks and they love them. Lily is in the same situation...she is getting spayed in a couple weeks and has a double set of teeth. Lately, I've been concerned because Riley has MVD and the bully sticks are like all protein. I just recently realized this. What to do, what to do? I really can't recommend anything else right now because I'm trying to stay away from everything. We can't trust any companies it seems.