Who might reasonably choose to wait? Families with a large or giant breed dog who is otherwise stable—good appetite, normal stool, controlled weight, and no major chronic disease—may decide to keep their focus on baseline tracking and veterinary relationship-building. The logic is that a targeted IGF-1 approach is designed for that specific body-size biology, not for every aging pattern.
At home, “stable” looks like predictable energy, a gait that stays more fluid across the week, and recovery pace that does not keep slipping. Waiting does not mean doing nothing; it means choosing not to chase unproven shortcuts. Keep nails short for traction, use rugs on slick floors, and maintain a consistent walking schedule.