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Ideally, for pet cavaliers diagnosed to have an MVD murmur, it should not be necessary to have a board certified veterinary cardiologist conduct a full examination of the dog unless and until the grade of murmur has increased rapidly (such as, from a grade 2 to a grade 3 within six months), or recent x-rays show that the heart has begun to enlarge, or the dog shows signs of MVD

But we need to investigate further to determine whether factors such as the dose and duration of treatment may or may not lead to any differences in outcomes. Reference: Bariatric surgery is more cost effective than newer weight loss drugs alone

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AST, 159 U/L

[PDF] nature.com Chen, Junjie, et al