I was very concerned about my already overweight cat's weight! He just seemed to be ballooning despite being on overweight management food. Dr. I was very patient in listening to my concerns, nicely telling me Kosmo needs to exercise and letting me know what options I had as far as further treatment. What I like about GSV is they always give you the options: the safest option for your pet, the cost, and the risk of doing/not doing a procedure. I opted to have Kosmo x-rayed to truly find out if there was something internal going on. It turned out there is something in there and we will be back in a few weeks to see if there are any changes. The staff in the reception area are always great as well - helpful and patient!