Q. His "wrist" is misplaced. Generally has slower development compared to his litermates. He is small and thin, and he sleeps a lot.

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A. Developmental joint problems are not uncommon in puppies and can often be managed but I would be concerned about the smaller size and lethargy in a puppy which could indicate an internal problem also. I recommend a full physical exam to identify any underlying causes for the reduced growth rate and to assess bone development. Ensure he is on a high quality, balanced diet designed specifically for puppies of his size and age

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