I can't find anyone here who has even heard of nosodes so I think my pup will be vaccinated for distemper and parvo (seperately) then we'll either do titers every year or vaccinations every 3 or so years.. I haven't decided yet. If I decide to vaccinate Kai and Kae again, it won't be for another three or so years. I think I might stop vaccinating Kaedyn completely though since he's getting older.