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The good news is that, for many people, this side effect improves after the first few weeks as their body gets used to the medication

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Cost-conscious cardiologists recommend that most all cavaliers which have been diagnosed by stethoscope and x-ray to have MVD with low grade murmurs and no enlargement, do not need to be examined by echocardiography unless the grade of the murmur has increased rapidly or the dog has begun to display symptoms of MVD