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Given the one study that has been done to date I don't believe you can give this anything more than a 50:50 chance." Notice that the main focus of these warnings is about the damage that pimobendan could do to the hearts of pre-CHF dogs which are not in a depressed contractile state and therefore do not need the additional positive inotropic support which is the primary benefit of pimobendan

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Prioritize adequate protein intake (80100+ grams daily), stay hydrated, use a slower titration schedule, and request pre-treatment biomarker screening