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Whether you decide to buy the runt of the litter will depend on whether you are simply buying the smallest puppy or an unhealthy one. Unless you are purchasing a dog for show or for a competitive sport there is no reason why you need to select the most exceptional puppy in the litter. If you have any concerns, check to make sure that the breeder will allow you to bring the puppy for a full health check-up with your local veterinarian.