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Oral incretin therapies do exist for semaglutide (Rybelsus), but tirzepatide is only FDA-approved as a subcutaneous injection

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The TCC group received topical application of tripeptide-copper complex, The zinc oxide group received topical application of zinc oxide

Once fluid invades the dog's lungs, the accepted consensus was to prescribe an MVD "cocktail" of a diuretic (Lasix) and pimobendan (Vetmedin) and an ACE-inhibitor (Enalapril) and maybe even one or two others, like spironolactone

The results may be subtle, but consistency matters