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  1. where to buy cialis online safely Utilization of the approved adulticide, melarsomine dihydrochloride, is an effective method for elimination of adult heartworms 10, while SK methods of continuous monthly use of preventive doses of macrocyclic lactones, with or without the addition of doxycycline, result in worm death and elimination over a lengthy and somewhat unpredictable period of time 11, 12

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