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Surgical options include: 1

A thorough assessment helps identify nutritional deficiencies and ensures the treatment plan is safe, effective, and tailored to individual goals

We know that genes play a role in this, but so does the environment your dog (exposure to toxins, chemicals and pesticides etc) alongside nutrition

Bodies are naturally very efficient and need to be able to respond to any number of infections, so they dont want to waste resources maintaining the maximum level of defense forever against a pathogen they may or may not encounter

Run a compound indefinitely with no reference point and you cant separate this is working from Ive convinced myself its working. Breaks keep the assessment honest