Trembling, refusing milk, looking very unwell.
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Expert Answer
Trembling in a newborn puppy can come from cold, fright, pain, low blood sugar, neuritis, or viral infection. Newborns have poor cold resistance, so lack of warmth can make them shiver; try warming it and see if it eases.
If the puppy seems distressed, consider milk aspiration or illness and take it to a veterinary hospital promptly for examination and treatment.