We live in Defiance Ohio. Our dog Jimi is 14, diabetic and his eye sight is declining to the point where he is afraid to go down the steps and out to the garage. He is a Jack Russell and has been diabetic for about 2 years reviving insulin 2x a day. We are starting to see a decline in him. We have bought these treats in the past at a store up town and decided it was time to order some more. It helps so much with his anxiety. He already seems more like himself again after just a few days of consistent use. We are also giving them to our 7 year old Daschund with back problems and our 13 year old Westie. All of the dogs are big fans! We will never be without these treats!