She needs to see the vet if her butt is really itchy.
It could be worms, anal glands, or if it is just in the general area back there, it could be fleas.
A dog that is spayed before her first heat has less than a 1% chance of getting mammary cancer. Spayed before second heat she has an 8% chance. Spayed anytime after that she has a 26% chance. Pyometra is common in older, unspayed females and usually requires and emergency spay which is more dangerous because of the infection and quite a bit more costly.
Does she have hypoglycemia issues? Why the Nutrical daily?
How many times a day does she eat?
Have you thought about switching foods?
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