[Ellie May]

I'm reasonably confident that my pup is protected with a high titer. With a low titer and a good vaccination history, I still would that there is protection, but it makes me nervous (still should be cellular immunity though).

The same low distemper thing happened to Ellie. The first year we boosted it. The next year it was down again and I decided against boosting it. That is not something I would recommend doing because there is always a chance it's low for good reason. I just do what I think it right for my dog. Ellie's vet's opinion is a major deciding factor in what I do. You really have to find one you trust so tthat they can help you decide.

When in doubt I recommend puppy shots, one year booster and then every three years for DHPP. AAHA totally supports this protocol. It is safe and fair (probably still over-vaccinating this way, but it's still a very respected protocol that is a compromise).

We stopped doing titers awhile back and won't be going back anytime soon.

BTW, there is no reason to give DHPP yearly. If a vet is absolutely insistent on it or wants you to believe that you are putting your pup in danger by doing it less often, then I'd move on.

While I take an approach between AAHA and minimalist, I don't recommend minimalist to others because I'm not comfortable doing so yet. I am much more comfortable recommending AAHA. A good portion of vets use this schedule.