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Instead, they are recommending that if the clinicians find from radiographs that a dog's vertibral heart score (VHS) value is at least 11.5, it would be perfectly proper to skip the echocardiogram and administer pimobendan to that dog, regardless of whether the dog's heart is actually enlarged or not

In the case of central and southern Arizona, the local mountains began forming about 50 million years ago, supplanting the previous landscape of huge tropical swamps on the margins of ebbing and flowing seas

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Duration depends on your goals: postinjury or postsurgery protocols might last 816 weeks, while chronic wearandtear cases may benefit from longer courses with periodic reassessment

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