Hello dog lovers I am Dr. Arif Aziz, in this blog post I will tell you briefly about wart on dog paw pad. I will explain to you what a is wart its shape, size, color, how it grows, and at the end how you can remove it. So, your furry friend has a little bump on their paw pad, huh? It’s not uncommon, but I get how concerning it can be. Warts on a dog’s paw pad can be a bit bothersome but fret not, we’ll get through this together!
First off, let’s talk about what these warts are. Just like humans, dogs can get warts too. They’re caused by a virus called the canine papillomavirus, and they often appear as small, raised bumps on the skin. When they pop up on your pup’s paw pad, it’s understandably a cause for concern.
I’ve been taking care of pets especially dogs at my clinic for a long time, exactly 14 years! I’m here to share some valuable information with you that I’ve gathered from books during my study time written by experts in veterinary medicine (DVM) and MSC (Master of Science), as well as from my own experiences working with dogs. I’ve been running my Veterinary Clinic for the past 14 years.
Firstly understand What Are Warts on a Dog’s Paw?
Warts, scientifically known as papillomas, are benign (non-cancerous) growths that can occur on the skin of various animals, including dogs. They are caused by certain types of viruses called papillomaviruses. These viruses infect the skin cells, leading to the formation of abnormal tissue growths known as warts.
In dogs, warts typically appear as small, raised bumps on the skin, including on the paw pads, although they can occur on other parts of the body as well. Warts can vary in size, shape, and color, but they often have a rough texture and may resemble cauliflower florets. They can occur singly or in clusters.
Papillomaviruses are highly contagious among dogs and are commonly spread through direct contact with infected animals or contaminated objects. Puppies and dogs with weakened immune systems are more susceptible to developing warts if exposed to the virus.
Most warts in dogs are harmless and will eventually resolve on their own as the dog’s immune system mounts a response to the virus. However, in some cases, warts may persist or become irritated, causing discomfort or bleeding. In such cases, veterinary intervention may be necessary to remove the warts or alleviate symptoms.
Here’s a simplified explanation of wart-like growths in dogs:
What are they?
Wart-like growths on dogs are small, raised bumps that can appear on their skin or paw pads. They’re caused by a virus called the canine papillomavirus (CPV), which is contagious.
How do they look?
These bumps can vary in size and texture, and they might feel rough or irregular. They can show up anywhere on a dog’s body, including their lips, mouth, face, and paws. They can be different colors, too.
Do they make dogs sick?
Usually, these growths don’t make dogs feel sick, but they might be a bit uncomfortable, especially if they rub against things or get stepped on.
How do vets know it’s a wart?
Vets can usually tell if it’s a wart just by looking at it. Sometimes, they might need to do more tests to be sure.
Can they be treated?
Wart-like growths on dogs might go away on their own, but if they bother the dog, the vet might suggest some treatments like special medications, freezing them off, or even surgery if they’re big.
Can you stop them from happening?
While you can’t always stop them, keeping your dog away from other dogs with warts and keeping them healthy with good food and regular vet check-ups can help.
Remember, even though these growths might look weird, they’re usually harmless. But if you’re worried or if they’re bothering your dog, it’s always a good idea to talk to the vet.
Information about warts on dog paw pads is presented in a simple table format:
Question | Answer |
What are they? | Wart-like growths on dogs are small, raised bumps caused by the canine papillomavirus (CPV), which is contagious. |
How do they look? | Wart-like growths vary in size, texture, and color. They can appear anywhere on a dog’s body, including the lips, mouth, face, and paws. |
Do they make dogs sick? | Wart-like growths typically don’t make dogs feel sick, but they might be uncomfortable, especially if they rub against things or get stepped on. |
How do vets know it’s a wart? | Vets can usually identify warts by visual examination. Sometimes, additional tests may be needed to confirm the diagnosis. |
Can they be treated? | Wart-like growths may go away on their own, but treatment options include special medications, freezing them off, or surgery if they’re large. |
Can you stop them from happening? | While you can’t always prevent them, keeping your dog away from other dogs with warts and ensuring good overall health can help minimize their occurrence. |
Remember, if you have concerns about your dog’s warts, it’s always best to consult with your veterinarian for proper diagnosis and treatment options.
That doesn’t mean you should just ignore the wart on dog paw pad. It’s always a good idea to keep an eye on any changes in your dog’s health, including those pesky paw pad warts. Here are a few steps you can take to deal with them:
- Consult Your Vet: Whenever you notice wart on dog paw pad or on your dog’s skin, it’s best to schedule a visit to the vet. They can examine the wart and determine the best course of action. Plus, they’ll be able to rule out any other potential issues that might be causing concern.
- Consider Treatment Options: Depending on the size and location of the wart, your vet might recommend various treatment options. This could include topical medications, cryotherapy (freezing the wart off), or surgical removal in more severe cases. Your vet will guide you through the options and help you decide what’s best for your furry friend.
- Keep It Clean: While you’re waiting for your vet appointment or during the treatment process, it’s essential to keep your dog’s paw pad clean and dry. This helps prevent any potential infections and keeps your pup comfortable.
- Be Patient: Dealing with warts on your dog’s paw pad can take time. It’s not something that will disappear overnight, so try to be patient with the process. Your vet will monitor the wart’s progress and make adjustments to the treatment plan as needed.
Now understand How Do Dogs Get Warts on Their Paws?
Dogs can contract the papillomavirus through direct contact with infected dogs or contaminated surfaces. Puppies and dogs with weakened immune systems are more susceptible to developing warts. The virus enters the skin through small cuts or abrasions, where it then multiplies and causes the characteristic growths to form.
- Direct Contact with Infected Dogs: Dogs can contract the papillomavirus by coming into direct contact with other dogs that have warts on their paws or other parts of their body.
- Contaminated Surfaces: The virus can also be transmitted through contact with contaminated surfaces, such as dog toys, bedding, or grooming equipment, where infected dogs have been.
- Shared Spaces: Dogs who frequent places where other dogs gather, such as parks, daycare facilities, or grooming salons, are at higher risk of exposure to the virus.
- Weakened Immune System: Dogs with weakened immune systems, such as puppies, elderly dogs, or those with underlying health conditions, are more susceptible to developing warts if exposed to the virus.
- Scratches or Wounds: The virus can enter the skin through small cuts, scratches, or wounds on the paw pads, providing an entry point for infection.
- Licking or Chewing: Dogs who excessively lick or chew their paws may introduce the virus into their skin, increasing the risk of developing warts.
- Sharing Food and Water Bowls: Sharing food and water bowls with infected dogs can facilitate the transmission of the virus, especially if the bowls are not properly cleaned and sanitized.
- Close Contact with Infected Objects: Dogs may contract the virus by sniffing, licking, or playing with objects that have been contaminated by infected dogs, such as shared toys or bedding.
- Grooming Practices: Dogs who undergo grooming procedures, such as nail trims or paw pad trimming, may be at risk of contracting the virus if grooming tools are not properly sanitized between dogs.
- Genetic Predisposition: Some dogs may be genetically predisposed to developing warts more easily than others, regardless of their exposure to the virus.
Understanding these potential routes of transmission can help pet owners take preventive measures to reduce their dog’s risk of contracting warts on their paws.
Pet owners need to monitor their dog’s warts closely and seek veterinary advice if they notice any changes in size, shape, or appearance, or if the warts are causing discomfort to their pet. Veterinary treatment options may include surgical removal, cryotherapy (freezing), or topical medications to manage symptoms.
Why is my dog suddenly getting a wart on the dog paw pad?
Sometimes, dogs get warts all of a sudden, and there are a few reasons why:
- Virus: There’s a virus called the canine papillomavirus (CPV) that can give dogs warts. It’s contagious, which means it can spread from one dog to another. If your dog’s immune system is weak or if they’re a puppy, they’re more likely to get warts from this virus.
- Stress and Health: Dogs can get stressed just like people do. If your dog is stressed or not feeling well, their immune system might not be as strong, making it easier for them to get warts.
- Age and Breed: Some types of dogs, like Boxers or Bulldogs, are more likely to get warts. Also, younger dogs are more prone to getting warts because their immune systems are still growing.
- Environment: If your dog spends a lot of time around other dogs, like at parks or kennels, they might pick up the virus that causes warts. Sharing toys or bowls with other dogs can also spread the virus.
- Genetics and Hormones: Sometimes, genetics or changes in hormones can cause warts in dogs. This isn’t as common, but it can happen.
Warts usually aren’t a big deal for dogs, but if you notice your dog acting differently or not feeling well, it’s a good idea to talk to your vet. They can help figure out what’s going on and how to help your furry friend feel better.
What is a wart-like growth on a dog?
A wart-like growth on a dog is typically caused by a virus called the canine papillomavirus (CPV). These growths can appear as small, raised bumps on the skin or paw pads. They’re usually harmless and look similar to warts that humans get. Dogs can get warts on their lips, mouth, face, and even on their paws.
How do I get rid of warts on my dog’s paws?
There are a few ways to deal with warts on your dog’s paws. One option is to visit your veterinarian, who can recommend the best treatment based on the size and location of the warts. Treatments may include applying topical medications, freezing the warts off (cryotherapy), or surgically removing them. Your vet will guide you on the most suitable method for your dog.
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Should I worry if my dog has warts?
Generally, you shouldn’t worry too much if your dog has warts. Warts on dogs are usually benign and don’t pose a serious threat to their health. However, it’s still important to have your vet examine the warts to confirm the diagnosis and rule out any other underlying issues. If the warts cause discomfort or grow larger, it’s best to consult with your vet for proper guidance.
Can I touch my dog’s wart?
It’s generally safe to touch your dog’s warts, but it’s essential to wash your hands thoroughly afterward to prevent the spread of the virus to other dogs or yourself. Since warts are caused by a contagious virus, it’s best to avoid direct contact with the warts if possible. Additionally, if your dog’s warts seem irritated or if they’re prone to licking or chewing them, it’s a good idea to consult with your vet for advice on how to manage them safely.
By understanding these aspects of dog warts, you can better care for your furry friend and ensure their health and well-being.
Now understands the symptoms of warts on a dog’s paw:
- Small, Raised Growths: Warts on a dog’s paw typically appear as small, raised bumps on the paw pads or between the toes. These growths can vary in size but are generally noticeable to the touch.
- Rough Texture: Warts often have a rough or uneven texture, resembling a cauliflower or a small cluster of bumps. This texture distinguishes them from the surrounding healthy skin.
- Flesh-Colored or Brown: Warts may appear flesh-colored, brown, or even slightly darker than the surrounding skin. The color can vary depending on factors such as the dog’s skin pigmentation and the stage of wart development.
- Cauliflower-Like Appearance: Some warts may exhibit a cauliflower-like appearance, with multiple small projections extending from the surface. This characteristic texture is due to the rapid proliferation of skin cells caused by the papillomavirus infection.
- Between the Toes: Warts can also develop between the toes, making them slightly harder to detect visually. However, pet owners may notice lameness or limping in affected dogs, especially if the warts cause discomfort or pain while walking.
- Itching or Scratching: Dogs with warts on their paws may exhibit signs of itching or scratching at the affected area. This behavior can indicate discomfort or irritation caused by the warts.
- Licking or Chewing: Excessive licking or chewing at the paws is another common symptom of warts. Dogs may instinctively try to alleviate discomfort by licking or chewing at the warts, leading to further irritation or injury.
- Mild Bleeding: Occasionally, warts may become irritated or injured, leading to mild bleeding. Pet owners may notice small amounts of blood on the paw pads or between the toes, especially after the dog has been licking or chewing at the warts.
- Discomfort or Pain: Dogs with warts on their paws may experience discomfort or pain, particularly if the warts are large, numerous, or located in areas that come into contact with hard surfaces during walking or running.
- Change in Behavior: Changes in behavior, such as reluctance to walk or play, favoring one paw over the other, or displaying signs of discomfort when the affected paw is touched, can indicate that the dog is experiencing pain or discomfort due to warts.
These symptoms may vary in severity depending on factors such as the size, location, and number of warts present on the dog’s paw. Pet owners need to monitor their dog closely for any signs of discomfort or changes in behavior and seek veterinary advice if they suspect their dog has warts on their paws.
Now understands the Treatment methods for warts on a dog’s paw:
- Observation: In many cases, warts on a dog’s paw may resolve on their own over time as the dog’s immune system mounts a response to the virus. Therefore, simply monitoring the warts and providing supportive care may be sufficient.
- Surgical Removal: If the warts are causing discomfort, interfering with the dog’s ability to walk, or are at risk of becoming injured or infected, surgical removal may be recommended. This procedure involves cutting or excising the warts under local anesthesia.
- Cryotherapy (Freezing): Cryotherapy is a treatment method that involves freezing the warts using liquid nitrogen. This freezing process destroys the abnormal cells of the wart, leading to their eventual removal. Cryotherapy is relatively quick and can be performed in the veterinary clinic.
- Electrosurgery: Electrosurgery involves using a specialized tool that delivers an electrical current to the warts, effectively burning and destroying the abnormal tissue. This method is often used for larger or more stubborn warts.
- Laser Therapy: Laser therapy utilizes a focused beam of light to target and destroy the warts on a dog’s paw. This treatment method is precise and minimally invasive, often resulting in faster healing and reduced risk of complications.
- Topical Medications: Some topical medications, such as immune-modulating creams or ointments, may be prescribed to help stimulate the dog’s immune system and facilitate the resolution of warts. These medications are applied directly to the warts and may need to be used consistently over several weeks.
Now understands topical medications commonly used for treating warts on a dog’s paw:
Podophyllin Solution:
Podophyllin is a resinous extract derived from the roots of certain plant species. It is applied topically to the warts and works by disrupting the growth and replication of the virus-infected cells. Podophyllin is often used in veterinary medicine for the treatment of warts, especially in cases where other methods have failed.
Imiquimod Cream:
Imiquimod is an immune response modifier that is available in cream form for topical application. It works by stimulating the dog’s immune system to recognize and attack the virus-infected cells, leading to the regression of warts. Imiquimod cream is applied directly to the warts and is typically used once daily for a specified treatment period.
Cantharidin Solution:
Cantharidin is a blistering agent derived from the Spanish fly beetle. When applied topically to the warts, it causes blistering and inflammation, leading to the separation of the wart from the surrounding skin. Cantharidin is often used by veterinarians as a topical treatment for warts, especially in cases where surgical removal is not feasible or practical.
Salicylic Acid Ointment:
Salicylic acid is a keratolytic agent that works by breaking down the outer layer of the skin, including the cells of the wart. It is available in ointment form for topical application to the warts. Salicylic acid ointment softens the wart tissue and promotes its gradual shedding, leading to the resolution of the wart over time.
Silver Nitrate Solution:
Silver nitrate is a chemical compound with antiviral and caustic properties. It is applied topically to the warts, where it reacts with the skin proteins to form a protective layer over the wart. Silver nitrate solution is often used in veterinary medicine for the treatment of warts, especially in cases where cryotherapy or surgical removal is not feasible or practical.
These topical medications may vary in effectiveness depending on factors such as the size, location, and number of warts present, as well as the individual dog’s response to treatment. Pet owners need to consult with their veterinarian to determine the most appropriate topical medication and treatment plan for their dog’s specific needs.
Intralesional Injections:
Intralesional injections involve injecting medication directly into the warts to help shrink or eliminate them. Medications commonly used for intralesional injections include steroids or immunomodulators.
Now I explain intralesional injections commonly used for treating warts on a dog’s paw:
- Triamcinolone Acetonide:
- Triamcinolone acetonide is a corticosteroid medication that is injected directly into the warts. It works by reducing inflammation and suppressing the immune response, leading to the shrinkage and resolution of the warts. Triamcinolone acetonide injections are often used for the treatment of warts in dogs, especially when other methods have failed.
- Interferon:
- Interferons are proteins that play a crucial role in the body’s immune response to viral infections. When injected directly into the warts, interferon stimulates the dog’s immune system to recognize and attack the virus-infected cells, leading to the regression of the warts. Interferon injections are commonly used in veterinary medicine for the treatment of warts, especially in cases where other methods have been ineffective.
- Bleomycin:
- Bleomycin is a chemotherapy medication that is sometimes used off-label for the treatment of warts in dogs. When injected directly into the warts, bleomycin works by disrupting the DNA of the virus-infected cells, leading to their death and the resolution of the warts. Bleomycin injections are typically reserved for cases where other treatment options have failed or are not feasible.
- Zinc Sulfate:
- Zinc sulfate is a mineral supplement that has antiviral and astringent properties. When injected directly into the warts, zinc sulfate works by inhibiting the replication of the papillomavirus and promoting the regression of the warts. Zinc sulfate injections are often used in veterinary medicine for the treatment of warts, especially in cases where other treatment methods have been unsuccessful.
- Candida Antigen:
- Candida antigen is a type of immunotherapy that involves injecting a small amount of Candida albicans extract directly into the warts. This stimulates the dog’s immune system to recognize and attack the virus-infected cells, leading to the regression of the warts. Candida antigen injections are commonly used in veterinary medicine for the treatment of warts, especially in cases where other treatment options have failed or are not feasible.
These intralesional injections may vary in effectiveness depending on factors such as the size, location, and number of warts present, as well as the individual dog’s response to treatment. Pet owners need to consult with their veterinarian to determine the most appropriate intralesional injection and treatment plan for their dog’s specific needs.
Immunotherapy: Immunotherapy is a treatment approach that aims to stimulate the dog’s immune system to recognize and target the papillomavirus responsible for the warts. This may involve administering vaccines or immune-stimulating agents to help the dog’s body mount a stronger immune response against the virus.
Nutritional Supplements: Nutritional supplements containing immune-boosting ingredients, such as omega-3 fatty acids, vitamins, and antioxidants, may be recommended to support the dog’s immune system and promote the resolution of warts.
Homeopathic Remedies:
Some pet owners like homeopathic or natural remedies to treat warts on their dog’s paws. These remedies may include herbal supplements, essential oils, or topical preparations with purported antiviral or immune-boosting properties. However, it’s essential to consult with a veterinarian before using any homeopathic remedies to ensure they are safe and effective for your dog.
Now I explain homeopathic remedies commonly used for treating warts on a dog’s paw:
- Thuja Occidentalis:
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- Thuja occidentalis, also known as Arborvitae or White Cedar, is a popular homeopathic remedy for treating warts in dogs. It is believed to stimulate the body’s immune system and help resolve warts, particularly those that are large, cauliflower-like, or located on the paw pads.
- Antimonium Crudum:
- Antimonium crudum is derived from antimony trisulfide and is used in homeopathy for treating various skin conditions, including warts. It is believed to have a drying and caustic effect on warts, helping to shrink and eliminate them.
- Causticum:
- Causticum is a homeopathic remedy made from potassium hydrate and is often used for treating warts that are hard, large, and located on the paw pads or between the toes. It is believed to have a softening and dissolving effect on warts, facilitating their removal.
- Nitricum Acidum:
- Nitricum acidum, or Nitric acid, is a homeopathic remedy used for treating warts that are large, jagged, and prone to bleeding. It is believed to have a corrosive effect on warts, leading to their gradual disappearance.
- Calcarea Carbonica:
- Calcarea carbonica, derived from calcium carbonate, is used in homeopathy for treating warts that are hard, round, and located on the paw pads or between the toes. It is believed to help strengthen the body’s immune response and resolve warts.
- Silicea:
- Silicea, also known as Silica or Silicic acid, is a homeopathic remedy made from silicon dioxide and is used for treating warts that are hard, round, and located on the paw pads. It is believed to have a purifying and detoxifying effect on the body, helping to eliminate warts.
- Sulfur:
- Sulfur is a homeopathic remedy used for treating various skin conditions, including warts. It is believed to have a drying and cleansing effect on warts, promoting their resolution and preventing recurrence.
- Thuya:
- Thuya, derived from Thuja occidentalis, is a homeopathic remedy often used for treating warts in dogs. It is believed to have a specific affinity for warts and is used for treating warts that are large, cauliflower-like, or located on the paw pads.
- Arsenicum Album:
- Arsenicum album is a homeopathic remedy made from arsenic trioxide and is used for treating warts that are hard, burning, and painful. It is believed to have a calming and healing effect on warts, relieving discomfort and promoting their resolution.
- Graphites:
- Graphites, derived from graphite or black lead, are used in homeopathy for treating warts that are hard, cracked, and located on the paw pads or between the toes. It is believed to have a softening and healing effect on warts, facilitating their removal.
These homeopathic remedies may vary in effectiveness depending on factors such as the size, location, and number of warts present, as well as the individual dog’s response to treatment. Pet owners need to consult with a qualified homeopathic veterinarian to determine the most appropriate remedy and treatment plan for their dog’s specific needs.
Now I explain the natural remedies commonly used for treating warts on a dog’s paw:
- Apple Cider Vinegar:
- Apple cider vinegar is a natural remedy often used for treating warts in dogs. It is believed to have antiviral properties that help fight the papillomavirus responsible for warts. When applied topically to the warts, apple cider vinegar may help shrink and dry out the warts over time.
- Tea Tree Oil:
- Tea tree oil is derived from the leaves of the Melaleuca alternifolia tree and is known for its antimicrobial and antiviral properties. When diluted and applied topically to the warts, tea tree oil may help inhibit the growth of the papillomavirus and promote the resolution of warts.
- Castor Oil:
- Castor oil is natural oil extracted from the seeds of the castor bean plant. It is believed to have anti-inflammatory and healing properties that may help soothe irritated skin and promote the healing of warts. When applied topically to the warts, castor oil may help soften and shrink them over time.
- Aloe Vera Gel:
- Aloe Vera gel is derived from the leaves of the aloe Vera plant and is known for its soothing and healing properties. When applied topically to the warts, aloe Vera gel may help reduce inflammation and discomforts associated with warts, as well as promote their healing and resolution.
- Banana Peel:
- Banana peel is a natural remedy that has been used traditionally for treating warts. It is believed that the enzymes and antioxidants present in banana peel may help soften and shrink warts over time. To use, simply rub the inside of a banana peel on the warts several times a day.
- Garlic:
- Garlic is known for its antimicrobial and immune-boosting properties. Some pet owners believe that feeding garlic to dogs or applying crushed garlic topically to the warts may help stimulate the dog’s immune system and promote the resolution of warts. However, garlic should be used with caution in dogs, as excessive consumption can be toxic.
- Vitamin E Oil:
- Vitamin E oil is a natural antioxidant that is believed to have healing properties for the skin. When applied topically to the warts, vitamin E oil may help moisturize the skin and promote the healing and resolution of warts over time.
- Dandelion Sap:
- Dandelion sap, extracted from the stems or roots of the dandelion plant, is believed to have wart-removing properties. Some pet owners apply dandelion sap topically to the warts, allowing it to dry and form a protective coating over the warts. This may help shrink and dry out the warts over time.
- Essential Oils Blend:
- A blend of essential oils such as lemon, eucalyptus, and lavender oil may have antiviral and immune-boosting properties that can help fight the papillomavirus and promote the resolution of warts. When diluted and applied topically to the warts, this essential oil blend may help shrink and dry out the warts over time.
These homeopathic or natural remedies may vary in effectiveness depending on factors such as the size, location, and number of warts present, as well as the individual dog’s response to treatment. Pet owners need to consult with a qualified veterinarian before using any homeopathic or natural remedies to ensure they are safe and appropriate for their dog’s specific needs.
- Question: Can Warts on a Dog’s Paw be contagious to other dogs?
- Answer: Yes, warts on a dog’s paw can be contagious to other dogs through direct contact or sharing of contaminated objects.
- Question: How long do warts on a dog’s paw take to go away?
- Answer: Warts on a dog’s paw may take several weeks to months to resolve on their own, depending on the dog’s immune response and the severity of the warts.
- Question: Can I treat my dog’s paw warts at home?
- Answer: While some home remedies may help manage paw warts, it’s essential to consult with a veterinarian for proper diagnosis and treatment recommendations.
- Question: Are there any over-the-counter medications for dog paw warts?
- Answer: There are limited over-the-counter medications for dog paw warts, but it’s crucial to use them under veterinary guidance to avoid potential harm.
- Question: When should I see a vet about my dog’s paw warts?
- Answer: It’s recommended to see a vet if your dog’s paw warts are causing discomfort or bleeding, or if you notice any changes in size, shape, or appearance.
- I hope you will thoroughly understand about the Warts on a Dog’s Paw, still, any queries contact me.
Here are some reference books that are considered authoritative on the topic of dog care, including nail care:
- “The Complete Dog Owner’s Manual” by Dr. Bruce Fogle.
- “The Ultimate Guide to Dog Care: Everything You Need to Know to Keep Your Dog Happy and Healthy” by Amy Marder and Andrew Luescher.
Disclaimer: This information is general advice only. Before starting any treatment or supplement with your pet, please consult your vet first for the best approach to getting your pet back to its best health.
Check with your veterinarian before giving any medication or supplement at home, to be sure it’s safe for your pup. Some substances can be toxic or harmful, including “dog-safe” medications and supplements if they are given at the wrong dosage.
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