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A temporary drop in potassium This is the most clinically recognised reason to feel worse early in treatment

It has been found that long-term exposure to monthly fipronil treatments has selected for resistant flea strains (22), and resistant Dirofilaria immitis strains that cause heartworm disease have emerged (23)

Checking the dosage unit calculations and the 50-unit conversion can help verify correct dosing if results seem delayed

Appetite effects are not strongly characterized in either direction in the current evidence base

[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause

Patients with diabetes should monitor their blood sugar closely