Seems like every patient on “My 600 Pound Life” has at least two tiny dogs.

Sometimes it’s even hard to figure out if there’s four or five of these little dogs.

Of course, many of these 600+ pound people are lonely because they can’t get out and socialize effectively.

Many suffer from chronic depression and anxiety.

Certainly, we all know that dogs offer unconditional love and acceptance, and don’t judge their masters.

But those reasons don’t answer the question of why seemingly all of these 600 pound patients of Dr. Now have only small dogs.

Where are the Labs, German shepherds, huskies, goldens, Rotts – or even medium size dogs?

Small Dogs Are Easier to Care For

Tiny dogs are easier to manage for individuals with limited mobility.

It’s commonly said that small dogs “require less exercise.”

Truth is, size doesn’t determine how much exercise a dog needs.

Though some breeds are high energy, such as border collies and German shepherds, and hence, need plenty of physical activity, there are also small dogs that are dynamos and thrive on generous physical activity.

ALL dogs need plenty of exercise. However, small dogs can get a lot of play-activity in less space.

The 600 pound person could give a tiny dog a good session of exercise by playing fetch with it from inside an apartment: tossing the pet a ball from their bed, even.

The little legs of a small dog will have plenty of room to scamper around inside an apartment or trailer home.

In addition, just overall, tiny dogs can be more easily accommodated in small living spaces (which Dr. Now’s patients usually have) and require less physical effort for care and maintenance.

Even if there are three small dogs, this can mean less overall physical exertion in their care when compared to one 80 pound dog.

On the Bed

Three small dogs can easily fit on the bed with the 600 pound patient.

I’ve seen this plenty of times, and even more so, two little dogs.

Though one medium and even large dog can lounge on the bed while the patient is in it, I guess it’s just a more comforting atmosphere for that individual when there’s three small dogs — three distinct personalities — rather than just one big dog.

Three small dogs can easily be at different locations of the bed, providing their owner with a sense of all-encompassing love.

On the Lap

Small dogs can easily lounge on a super morbidly obese person’s lap – and stay there for prolonged periods.

People on “My 600 Pound Life” know that a lap dog will be able to provide a lot more close-proximity companionship.

Less Likely to Cause Destruction if Poorly Trained

Perhaps the people on “My 600 Pound Life” figure that if they get a dog that ends up with poor behaviors, there will be less destruction or messes created if the dog is very small.

Imagine a 90 pound Lab getting into things, compared to a little pug or toy poodle.

Lorra Garrick is a former personal trainer certified by the American Council on Exercise. At Bally Total Fitness, where she was also a group fitness instructor, she trained clients of all ages for fat loss, muscle building, fitness and improved health.