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However, if symptoms are severe, persistent beyond 48 hours, or accompanied by high fever (above 101F), contact your healthcare provider for evaluation

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This is not a minor evolution

The important distinction is this: most visible skin changes are related to weight loss itself, not direct damage from the medication

To minimize this risk, try eating smaller, more frequent meals throughout the day

134,135,136 While dividing the daily caloric intake between two meals per day is a common practice for healthy adult dogs, recent data observed that once-daily feeding of dogs was associated with a lower incidence of cognitive dysfunction, and lower odds of having gastrointestinal, dental, orthopedic, kidney/urinary, and liver/pancreas disorders