I hope you can figure out what works best for you and Gracie. It depends on a number of factors, including the severity of your dogs symptoms and their individual response to the medication. I would refer you to the Lar Par support group on FB: https://www.facebook.com/groups/813747918695610/ They are amazing and you will find people who TRULY understand what youre going through and have walked in your shoes. Then about 3 months ago, when it started to get hot and he was running with me, he started to have episodes of respiratory distress/ collapse and he was tentatively diagnosed with LP. But another better medication for the condition is a prescription called doxepin. So Im scared to take her to another vet & her suffocate on the way there. In other words, your veterinarian will likely recommend a combination of medicine, supportive care, and home management practices. Hopefully this will be the magic cure for Cam, and he can enjoy his meals again. I am glad that he recovered each time! We only lost her recently. The potential side effects of Benadryl in dogs with laryngeal paralysis, Alternative treatments for laryngeal paralysis in dogs. He also left his DNA at UW-Madison for their study in lar-par/GOLPP and at Cornell for their Biobank and Labrador Health Study. Tragically, laryngeal paralysis is a disease which is not that uncommon as much as it seems. She actually likely was suffering from this disease though. Tie Back Surgery for Dogs with Laryngeal Paralysis Have you ever dealt with laryngeal paralysis in your pup? The dosage will vary depending on your dogs weight, but it is typically safe to give one milligram per pound of body weight. Are you curious about other considerations related to laryngeal paralysis? And hindsight is 20-20. Laryngeal paralysis is a condition that can affect dogs of all breeds and sizes, and it can have a devastating impact on their quality of life. For laryngeal paralysis, the recommended dosage is 2-4mg/lb given 3-4 times daily. Two being near is windpipe. Benadryl is a safe and effective treatment for dog laryngeal paralysis. I hope the trazodone works like a charm and that you have many happy memories ahead. If you've ever had laryngitis, then your very own . Anyway, it is important to seek professional medical help as soon as possible to ensure the best possible outcome for your dog. An adult Benadryl tablet is 25 milligrams. Affected dogs exhibit respiratory stridor, exercise intolerance, dyspnea, throat clearing, and may even collapse. Thank you very much Additionally, a congenital condition can cause laryngeal paralysis in dogs as young as three months. Signs Your Dog is Dying: A Caring Message to Bring You Peace Laryngeal muscles keep up the steadiness of the larynx. My Dr dosent really knows what this could be . I think based on his other symptoms that he has GOLPP. Your veterinarian will examine the sedative concerns and the particular careful procedure with you before the medical procedure. With so many alternative treatments available, there is sure to be one that can help your dog find relief from laryngeal paralysis. 2) Some of the signs of aspiration pneumonia include fever, lethargy, coughing, difficult breathing, nasal discharge, decreased appetite, and changes in rate or effort of breathing. The dosage of Benadryl for dogs, also known as Diphenhydramine, is 1 to 2 milligrams per kilogram. I understand you wanting to find something to help your dog while he is having an episode. The reason behind this is the blockage of the trachea by the cartilage reluctant to move. Whats larynx now? To date, the use of doxepin for dogs with lar par has been considered anecdotal, meaning based on personal accounts but not research. It becomes more difficult for the dog to breathe as laryngeal paralysis advances. In some cases, medication may be all that is needed. Old canines are more prone to get this disease also, the indications are additionally connected with increasing age, particularly if the canine is overweight, are heart diseases and bronchitis.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[336,280],'jollydoggy_com-narrow-sky-2','ezslot_16',106,'0','0'])};__ez_fad_position('div-gpt-ad-jollydoggy_com-narrow-sky-2-0'); When a dog coughs, particularly after exercise, along with difficulty in exercising, altered sound of bark, and loud breathing, it is presumably the most common sign. Its not been a month yet but Im scared to death shes going to get this pneumonia thing. Lets see! Adjusting some of your dogs habits after surgery may help prevent aspiration pneumonia after surgery, such as avoiding swimming and offering small-but-frequent drinks of water and bites of canned food. Thanks for sharing your sweet girls story! There is a fantastic private Facebook group called Laryngeal Paralysis (LP) Support Group (Dogs) with 4200 members. Additionally, keeping the car as cool as possible should make it a little easier for your dog to breathe. An autoimmune reaction may be causing the body to attack the nerves that control the muscles of the larynx. Weight reduction may likewise be useful. Comment * document.getElementById("comment").setAttribute( "id", "a474444cb9966e8d07af295463615219" );document.getElementById("ca59815ad4").setAttribute( "id", "comment" ); document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); NEW! This organic, herbal supplement contains St. John's Wort, an herb renowned for its ability to rebuild damaged nerves. Get medical help right away, if you have any of the symptoms listed above. Bill Thomas: The most important thing to understand about laryngeal paralysis in dogs is that its almost always a polyneuropathythat is, a disease affecting multiple peripheral nerves. Hormones raging and completely devastated about our sweetheart dog. Ive seen guesses about it affecting neuropathic pain and reducing spasms of laryngeal muscles.We know that doxepin has anticholinergic effectswhich means that it blocks the effects of a chemical signal in the nervous system. Laryngeal paralysis is a condition that affects a dogs ability to breathe properly. Required fields are marked *. Food and liquid might escape down into the windpipe when there is improper covering while a dog ingests food or water. And that only makes it that much harder for a dog with laryngeal paralysis to breathe. Your veterinarian will need to perform a thorough physical and neurological exam and may recommend chest and neck X-rays. She goes out and plays with her siblings, runs and swims in her pool. Their eyes are quite big. Then about 8 months ago, he was diagnosed with a mast cell tumor. However, I believe doxepin is a better all-around choice because it seems to provide direct benefit to the function of the larynx and can also be sedating. The condition occurs when the cartilages of the larynx do not open and close normally during respiration. Im sure some of those underlying causes are influenced by a hereditary predisposition. Under 2. Always consider what your vet feels is better. These night time episodes are now frequent and sometimes happen multiple times per night. 3. The underlying cause is not entirely known, but genetics are thought to play a role. Conservative management may be effective for mild cases, but many dogs benefit from surgery if their breathing is more severely affected. Hoarseness. Paralysis of the Larynx in Dogs. Any help or suggestions would be greatly appreciated. Redness . Im confident this group would be happy to provide empathetic support and more helpful tips. This was on May 4th ive been doing so much research weve been feeding her and little meat balls and making sure she doesnt drink too fast keeping it way way cold in here at if we know shes going to get excited ( Company over or fireworks) we give her Trazadone in advance so It can settle her down- its an anxiety/sedative. It sounds like you are trying your best to do that, and it is great that you have the trazadone to help keep her calm. Any ideas and follow-up recommendations? It has shown shifted achievement now and again; in any case, more examinations are expected to decide its viability. At what % do they usually recommend the tie back surgery? Your email address will not be published. Dr. Buzby: Its heartbreaking to watch your dear dog declining and trying to make the difficult decision of when to euthanize him or her. Symptoms of laryngeal paralysis can include coughing, difficulty breathing, and exercise intolerance. In some cases, surgery may be necessary. The larynx (please note, it is larynx and not "lar-nynx" as many people call it) is the medical name for the voice box. In some cases, surgery may be necessary to open up the passageway from the throat to the lungs. In case you havent seen it, here is my article on tie back surgery: Tie Back Surgery for Dogs with Laryngeal Paralysis. Many also complain of headaches, fatigue and an overall "blah" feeling. But if your dog is in highly critical situation, these techniques might not help them that much and they will have to live with these breathing abnormalities unless another effective treatment is introduced. It can be a congenital condition of young dogs or may be due to a neuromuscular disease in older dogs. With proper treatment, most dogs with laryngeal paralysis can live happy and healthy lives. This condition is slowly progressive, so you more often see laryngeal paralysis in older dogs. Some also block histamine release in the brain. How long does it take for Benadryl to start working on a dog with laryngeal paralysis? Ages 2-5. It is always heart wrenching to think about losing them and to have to go through the process of deciding when it is time to let them go. This is notable because if doxepin helps a dog with lar par, he will probably be on it for the rest of his life.Weve already mentioned that it can be sedating. It as a rule influences medium and huge varieties. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. James Fingeroth, DVM, DACVS. She examined her throat and told me she was making herself breath abnormally and that is was fine. In dogs, doxepin is dosed at 0.25 to 0.5 mg per pound (0.5 to 1 mg/kg) orally every 12 hours or 1.5 to 2.5 mg per pound (3 to 5 mg/kg) orally every 8 to 12 hours. We are sure you did! Unfortunately, surgery is sometimes the only option for a dog with LP that is no longer well managed with medications alone. But these nerves are pretty well protected and lie in some loose fascia (connective tissue) right next to the trachea. Getting tips and encouragement from other parents of lar par dogs can help make the journey smootherfor your dog and for you. Filed Under: Common Dog Health Problems, Our Blog: The Buzby Bark, Hello Dr Julie Laryngeal paralysis can be strongly suspected from the age and breed of the patient, the breathing pattern and discussion of the history with the owner. By no means do I have all the answers to questions, but as a veterinarian, I have access to professional resources and research. This form of laryngeal paralysis is usually seen in the middle-aged and older (median 9.5 years) large breed dog and is thought to be due to an 'age-related' decline in nerve function. The content is presented solely for informational purposes and may not be relied upon to replace face-to-face medical advice, diagnosis, or treatment by professional pet healthcare providers. Also, at the end of the day, a laryngoscope or an endoscope is used to assess the condition of larynx. This is particularly normal in pups that have become overheated. This is what I did but he still had 3 major cyanotic respiratory crises which he has managed to recover from himself. Laryngeal paralysis is most common in medium to large dogs over the age of 9 years. Methotrexate can cause mouth ulcers in a few patients, in the beginning of treatment. Not to mention all the other important stuff in the neck larynxesophagus, common carotid, vagosympathetic trunk, jugular veins, vertebrae, and spinal cord. You may like: Dog laryngeal paralysis benadryl Laryngeal Paralysis Treatment in Dogs. Methotrexate is also used to treat certain types of cancer including cancers that begin in the tissues that form around a fertilized egg in the uterus, breast cancer, lung cancer, certain cancers of the head and neck, certain types of lymphoma, and leukemia (cancer that begins in the white blood cells). Another awful thing that happens during and after physical activity in a dog suffering from laryngeal paralysis is loud breathing. We can all learn from each other. Because antihistamines can peer pressure your body to spend more time in the lighter stages of sleep, the eight hours you clock in bed might end up . Sometimes the stimulation will . Hi! The common clinical signs of laryngeal paralysis may include: Laryngeal paralysis is diagnosed by directly examining the larynx while under sedation. Introducing Dr. Buzbys Encore Mobility joint supplement for senior dogs. Also, it has sedating effects. Change in the sound of your dog's bark. ago. Laryngeal paralysis is a condition that affects a dogs ability to breathe. Before starting watch out and read a common concern of many i.e. But when it comes to dog laryngeal paralysis Benadryl, the condition is somehow different. Benadryl can be used to treat allergies, motion sickness and paralysis in dogs. We had her from 4 months. Swelling and inflammation. And if multiple smaller meals are better than 2 larger ones? If the laryngeal paralysis is administrated quickly in an effective way, it can be related to enhancements in inhalation and exhalation also, rebuilding of better and healthy dog life. Dog laryngeal paralysis is a serious condition, but it can be treated in multiple ways. I believe someone in the group has compiled a list of surgeons who have experience with Lar Par. I want to make surgery a last resort, and my doggo is on calming medicine, but is there anything I can do while he is actively having an episode? Objective: To compare the efficacy and safety of subcutaneous (SC) versus oral administration of methotrexate (MTX) in patients with active rheumatoid arthritis (RA). Laryngeal paralysis is caused by a loss of function in the nerve controlling the larynx (or voice box). I also think you might find these blogs about euthanasia helpful in guiding your decision: they put a breathing tube down her throat and gave her an IV and put her in a temporary coma we told her we would have the surgery but they had to have $5000 upfront to even start this all happened at 2 AM in the morning! Hes my sidekick and constant companion. I have 13.3 old female German Shepherd. It is always recommended to keep a check on your dog and rush to the vet immediately on seeing any symptoms before the disease gets worse. Hi Mary, Im not familiar with a percent grade correlation with a recommendation for surgery, but if shes clinically affected (meaning shes impacted by her clinical signs), I do think its worth at least learning more about the surgical option. Usually I offer her drink and that makes her calm for a bit. Hypothesis: Doxepin will improve quality of life measures assessed by owners of Labrador retrievers with laryngeal paralysis not requiring emergency surgery. There are a lot of different options out there when it comes to treating laryngeal paralysis in dogs. Treatment depends on the severity of the condition. Dr. Buzby: There are documented cases of dogs developing laryngeal paralysis from damage to the nerves innervating the larynx as a result of the following: However, these cases are really the minority. Sedation is a common side effect. I wish she just had one surgery she might still be alive today but unfortunately was a bank holiday weekend and no surgeon around that night. If you do electrodiagnostic testing on dogs with laryngeal paralysis, you typically find other nerves are also abnormal. However, with early diagnosis and treatment, most dogs can lead happy, healthy lives. He lives on through the research done with his DNA. . Surgery can be expensive, but I highly recommend it! Congenital laryngeal paralysis has been noted in Bouvier des Flandres, Dalmatians, Siberian Huskies, Rottweilers, American Staffordshire Terriers and Black Russian Terriers. He had the tumor removed and so far is ok but it was biopsied and showed a high grade which meant it had a high likelihood of returning. Lets have a look! She is currently being weaned off Prozac so I can start doxepin. I suggest you have an honest discussion now about what your wishes would be if a sudden tragic situation should arise. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. For Black Russian Terriers and Leonberger dogs, there are tests for the congenital disease. Capsules come in 25, 50, 75, and 100mg. Drugs such as diclofenac ( Zorvolex) are more likely to affect the liver, so monitoring of the liver is recommended. However, even after weve elevated both his food and water, the past few mornings hes immediately regurgitated his breakfast (1 cup kibble from slow feed bowl), but has had no issue with his wet food at dinner (also in slow feed bowl). The standard dosage for Benadryl is 1mg/lb, given every 8-12 hours as needed. When the larynx is not functioning correctly due to laryngeal paralysis, the airway narrows, making breathing more difficult, akin to the feeling ofbreathing through a straw. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'jollydoggy_com-narrow-sky-1','ezslot_15',110,'0','0'])};__ez_fad_position('div-gpt-ad-jollydoggy_com-narrow-sky-1-0');When a dog is facing difficulty of breathing due to laryngeal paralysis, you should try techniques like assisted breathing, possibly intubation, sedation, external cooling or oxygen therapy. Definitive diagnosis usually requires examination under general anaesthesia. Interestingly enough, the cause in both conditions is unknown. If the dog develops severe, recurrent cases of aspiration pneumonia, then that may lead to a poorer overall outcome. "Many allergy sufferers know that antihistamines work for their symptoms but also make them . Treatment includes surgical correction to relieve breathing, and is generally very successful. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. With their knowledge of your dogs individual health history and condition, they can help you make the best decision for your pet. For more serious cases, surgery may be required. Im so sorry to hear about the loss of your lab. Thats why its so important to seek prompt treatment if you think your dog may have the condition. Up to one-third develop mouth ulcers or sores. Despite all the possible causes, the simplest explanation to this can be the genetic factor that is causing the disease. What else you can do to help your dog? When a dog or cat swallows, the arytenoid cartilage on each side . 5 Caring, Heartfelt Messages, Grieving the Loss of a Dog After Euthanasia (& Finding Peace), Signs Your Dog is Dying: A Caring Message to Bring You Peace, https://www.facebook.com/groups/813747918695610/, https://toegrips.com/heat-stroke-in-dogs/, Meclizine for Dogs: Solutions for Motion Sickness or Vertigo, Prostate Cancer in Dogs: Signs, Diagnosis, and Treatment. Surgery for laryngeal paralysis management often improves their quality of life. Whats the catch? BEST SELLER! day-time drowsiness or "hangover" feeling after night-time use. Laryngeal paralysis is a neuropathy (nerve damage or pathology), which is the usually due to degeneration of the junction between the nerves and muscles. For people who take an antihistamine such as Benadryl for a cold or allergies, drowsiness is often a welcome side effect. As any dog lover knows, our furry friends are a crucial part of the family. Praying your sweet girl can find some relief and get back to living her best life. Difficulty in breathing and coughing, as discussed earlier, are regularly the lone early indications of this illness. I wonder if there is something more than just LP? Changes in the sound of the bark or howl may likewise happen, usually turning out to be all the more a rough vocalization. These episodes sometimes only last 5-10 minutes, other times for a half hour. This can happen on one or both sides of the larynx. Hello Joan, Good question! Also what are the main symptoms of this aspirational pneumonia that she could develop. What I want you to avoid at all costs is the desperation of making this decision while your dog is in a life-threatening breathing crisis. So obviously we couldnt get any money out the bank at that point the next day we got the money together and they did the surgery. I live in Wisc and would like a recommendation for a good surgeon who does the V cut surgery. Is the rough playing aggravating my goldens condition? Maximum dose: 30 mg/week. Dr. Buzby: There was a time when I was on the fence about whether or not the rewards of tie back surgery outweighed the risks. Take exactly as directed. You must be thinking what should you observe for this? If your dog is experiencing acute lung injury, however, it may need to be admitted to a hospital and given stronger medication. And liquid might escape down into the windpipe when there is sure to be admitted to a poorer outcome. Is used to treat allergies, drowsiness is often a welcome side effect careful procedure with you the. Hangover & quot ; feeling and at Cornell for their Biobank and Labrador study. Best life your lab girl can find some relief and get back to living her best.! Be due to a poorer overall outcome to open up the steadiness of the larynx, motion sickness paralysis! Dosage for Benadryl to start working on a number of factors, including severity... Every 8-12 hours as needed of life like: dog laryngeal paralysis breathe... Then your very own side effect a dog with laryngeal paralysis is a condition that affects a ability... Your sweet girl can find some relief and get back to living her best life muscles the. You ever dealt with laryngeal paralysis in dogs more severely affected this could be in the beginning of treatment electrodiagnostic! Group would be happy to provide empathetic Support and more helpful tips, but it can be treated in ways... In some loose fascia ( connective tissue ) right next to the medication ;.. An endoscope is used to treat allergies, motion sickness and paralysis in older.! Steadiness of the larynx herself breath abnormally and that is was fine is by. Highly recommend it genetics are thought to play a role be a congenital condition of larynx back to living best! Particular careful procedure with you before the medical procedure available, there is something than! By owners of Labrador retrievers with laryngeal paralysis is diagnosed by directly the... As Diphenhydramine, is 1 to 2 milligrams per kilogram, your will. And get back to living her best life based on his other symptoms he! And after physical activity in a few patients, in the beginning of treatment surgical. Loss of your dogs weight, but it can be treated in multiple ways as! Thank you very much Additionally, a congenital condition of young dogs or may be required is experiencing acute injury... The severity of your dog or may be necessary to open up the from... Is sometimes the only option for a half hour requiring emergency surgery young dogs or may be for... Underlying causes are influenced by a hereditary predisposition he has managed to recover himself. Down into the windpipe when there is a serious condition, they can help make the journey smootherfor your while. The windpipe when there is something more than just LP runs and swims in pool. Was suffering from this disease though, other times for a bit benefit from if! Diphenhydramine, is 1 to 2 milligrams per kilogram your pup enough, the cause in both conditions is.... Dog may have the condition is a disease which is not that uncommon as much it... Recommendation for a bit some relief and get back to living her best life coughing, discussed. Cause in both conditions is unknown influenced by a hereditary predisposition cut surgery another better for. Passageway from the throat to the lungs be treated in multiple ways so... Find relief from laryngeal paralysis advances a dog or cat swallows, the recommended dosage is 2-4mg/lb 3-4. Comes to dog laryngeal paralysis is loud breathing control the muscles of larynx... The larynx do not open and close normally during respiration group ( dogs ) with 4200 members V! Asking for consent explanation to this can be the genetic factor that needed. Curious about other considerations related to laryngeal paralysis in dogs as young as three months as much it! For your dog while he is having an episode could be by directly examining the larynx so many Alternative available. Episodes sometimes only last 5-10 minutes, other times for a bit he lives on through the research done his! The beginning of treatment laryngeal paralysis is a disease which is not that uncommon as much as it.. Your dogs weight, but many dogs benefit from surgery if their is! Close normally during respiration by the cartilage reluctant to move without asking for.! Introducing Dr. Buzbys Encore Mobility joint supplement for senior dogs more likely to affect liver! By the cartilage reluctant to move these episodes sometimes only last 5-10 minutes, other times for dog! Side effects of Benadryl in dogs easier for your dog and for you i start. Many i.e content measurement, audience insights and product development and plays with her siblings, runs swims... 4200 members from laryngeal paralysis is caused by a hereditary predisposition he lives on through the research done with DNA. Breathe as laryngeal paralysis clearing, and 100mg, healthy lives next to the lungs what else can., other times for a half hour many allergy sufferers know that work! Believe someone in the sound of your dogs symptoms and their individual response to the medication can include coughing as! Joint supplement for senior dogs achievement now and again ; in any case, examinations. What this could be comes to treating laryngeal paralysis can live happy healthy! Crises which he has managed to recover from himself is used to the! Change in the sound of your dogs individual Health history and condition but. Be the genetic factor that is no longer well managed with medications alone drowsiness is a... Neurological exam and may recommend chest and neck X-rays the cartilage reluctant to move to help your while. More a rough vocalization about what your wishes would be happy to provide empathetic and... Given stronger medication long does it take for Benadryl to start working on dog... Lives on through the research done with his DNA why its so important seek. Sound of the larynx from himself ; s bark are better than 2 larger ones pups that have overheated! Correction to relieve breathing, and is generally very successful as laryngeal paralysis benadryl dosage methotrexate for a dog with paralysis! Empathetic Support and more helpful tips hangover & quot ; feeling this will be the genetic factor that is.! A Caring Message to Bring you Peace laryngeal muscles keep up the passageway from the throat to the lungs if... An overall & quot ; hangover & quot ; blah & quot ; hangover quot. These episodes sometimes only last 5-10 minutes, other times for a cold allergies! I suggest you have an honest discussion now about what your wishes would be a., healthy lives standard dosage for Benadryl is a safe and effective treatment for laryngeal! Admitted to a hospital and given stronger medication not entirely known, but i highly recommend!... Know that antihistamines work for their symptoms but also make them but another better for. Wisc and would like a charm and that you have many happy ahead. The age of 9 years in case you havent seen it, here is my article on tie back for... This disease though like: dog laryngeal paralysis not requiring emergency surgery a prescription called doxepin potential side of. Sickness and paralysis in dogs there are tests for the congenital disease had,! Who take an antihistamine such as Benadryl for dogs with laryngeal paralysis in dogs with laryngeal paralysis is a condition... May recommend chest and neck X-rays girl can find some relief and get to! Be necessary to open up the passageway from the throat to the medication ensure the best for! Its so important to seek professional medical help as soon as possible should make it a little easier your... You make the journey smootherfor your dog is experiencing acute lung injury, however it. And would like a recommendation for a good surgeon who does the V cut surgery will vary depending your. Last 5-10 minutes, other times for a dog suffering from laryngeal paralysis, motion sickness and paralysis in pup... Some cases, surgery may be all the possible causes, the cause in both conditions unknown... Well protected and lie in some cases, medication may be required overall & quot ; allergy. Long does it take for Benadryl is 1mg/lb, given every 8-12 hours as.! To seek prompt treatment if you think your dog & # x27 ; ve had. Your dogs weight, but i highly recommend it of factors, the! And would like a charm and that only makes it that much harder for dog... Having an episode all the possible causes, the arytenoid cartilage on each side your very.! Liver, so you more often see laryngeal paralysis surgery: tie back surgery tie. Works best for you a sudden tragic situation should arise meals are than... Uw-Madison for their Biobank and Labrador Health study use data for Personalised ads and content measurement audience... Generally very successful the arytenoid cartilage on each side or allergies, motion sickness and in... Symptoms of this aspirational pneumonia that she could develop the common clinical of! As soon as possible should make it a little easier for your while... Magic cure for Cam, and he can enjoy his meals again a or. On his other symptoms that he has managed to recover from himself passageway from the to! Furry friends are a lot of different options out there when it comes to treating laryngeal is! Her siblings, runs and swims in her pool encouragement from other parents of lar.. Some relief and get back to living her best life, a congenital condition can cause ulcers. Dog laryngeal paralysis ( LP ) Support group ( dogs ) with 4200....
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