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Last accessed January 26, 2016

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Some of these symptoms could be minor but they may arise just as severely

Effects of exenatide on systolic blood pressure in subjects with type 2 diabetes

Specifically, it states: "The strictest interpretation of the trial would suggest that all small breed dogs with a left apical systolic murmur of grade 3/6 or louder should have radiographs taken and an echocardiogram performed to determine if substantial cardiac enlargement is present and pimobendan therapy warranted." * In a July 2017 "update", the CEG changed the "above 11.5" to "11.5 or above", making the risk even greater that dogs with no enlargement at all will be prescribed pimobendan