Teacup is just a small chi.  Most do NOT have problems if the breeder breeds selectively.  Teacups are not necessarily the "runt" of the litter either.  If it is the "runt" and all the other puppies are much bigger, then it may have health problems.  Some breed down their sizes by using 2.5 to 3 lb robust and healthy studs and 3.4 to 4 lb robust and healthy bitches.  Not only the breeding dogs but their lines must be small too.  With this breeding, you would get most "Teacup" sized puppies and all healthy.  It is an art.
 
Now, on another note, most folks should NOT have a teacup because they are fragile until older.  Folks that have high vet bills can have them for various reasons.  "I sat, stepped or whatever on the puppy."  They don't follow feeding instructions and their puppy gets hypoglycemia.  Then, there are the true cases where something is wrong with the pup and is not the fault of the buyer.  If teacup puppies are robust and playful it is a good indicator of health.  If a teacup pup is lethargic, well, that's a clue.  Buyer really has to beware.  Breeders really need to know what they are doing too.
 
Lisa

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