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There is no reason to have them more regularly if your client requires it, as normally the average time between a client needing another is after 6 weeks but some people even less, after 4 weeks
[2] However, unexplained elevation warrants investigation for underlying pathology, particularly hepatic or haematological disease
Fill a couple of milliliters of air into the syringe
If no improvement is noticeable, consider consulting your vet about treating simultaneously for Listeriosis, which has very similar symptoms but is more common in adult animals
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