I like to measure food and feed at appropriate intervals. But 45 pieces of kibble sounds like way too little for a 3.9 lb dog. Don't know why and or how the vet came up with that.
I would be feeding this dog 3/4 to 1 cup of kibble a day and taking frequent note of his body condition. And adjust the food up or down depending upon his condition.
My dogs get or can get a varied amount of food a day - dependent on their activity level. Very active day then amount for the large dogs is bumped up by 1/2 lb and for the wee one about 1/4 cup.
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