As Sophie gets older, I am seeing some changes in her... she's a little slower.. doesn't hear as well (that could be selective). She has been diagnosed with Cushing's Disease and her meds are a healthy chunk every month. Thank goodness for Trupanion - they covered her diagnosis and her treatment promptly and efficiently. They have even checked to see how she is doing! What peace of mind I have as she ages... but she will probably be her for a long while just out of spite.