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Nearly all veterinary drugs, including NSAIDs, steroids, antibiotics, monthly heartworm preventives, and flea and tick pesticides, undergo hepatic metabolism, meaning the liver must chemically transform them into forms that can be safely excreted

Follow-up involves scheduling your next visit based on the protocol, tracking weight, measurements, and subjective energy over several weeks, and adjusting frequency or dose if side effects or a lack of benefit emerge

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References 1 De VriesJMichielsenHVan HeckG