Why is my 3-month chihuahua weak and sluggish? What can I do?
The CBC that you posted does not show any significant abnormalities. Hypocalcemia (low blood calcium) is not terribly common in puppies, it is most common in pregnant or nursing dogs. Hypocalcemia can be caused by severe malnutrition.
More commonly, small breed puppies, like chihuahuas, can easily become hypoglycemic (low blood sugar). Sometimes this is caused by not eating frequently enough. I recommend that Bread be fed a good quality puppy food every 6 hours to prevent hypoglycemia. If she is lethargic, you can rub honey or caro syrup on her gums to help. If she will lap it up, you can also offer her a small amount of sugar water (but don't leave it out longer than a few minutes as it can quickly go bad and grow bacteria). In the US, we have a supplement called Nutrical, but it is not a calcium supplement, it has some vitamins, fat, protein, and sugar to help prevent this from happening.
Other causes of hypoglycemia in puppies are congenital defects like portosystemic shunt or hydrocephalus, and other issues like bacterial infection (less likely based on the CBC), intestinal parasites, stress, or diarrhea.
Updated on September 23rd, 2025