Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.
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Dip ACVD Podcasts

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291. GRAB BAG: canine autoimmune diseases
22:18
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22:18As always, you bring the best questions for these grab bag episodes. Today, we cover dog autoimmune diseases (though cats find their way to make it in a bit). How do you tell the difference between DLE and PF? What if an owner can't biopsy the case? How do you treat SLO? Sebaceous adenitis? Find the answers to these questions and more on this week'…
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290. Hyperbaric Oxygen Therapy with Trenton Ewing
24:30
24:30
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24:30Hyperbaric Oxygen Therapy is the use of supplemental oxygen in a chamber under increased pressure so the blood oxygen concentration increases which facilitates healing. There are not many veterinary practices that have HBOT for pets. However, we are lucky enough to have Trenton Ewing, DVM, DACVD back on the podcast to discuss HBOT since his practic…
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289. Venomous Insect Testing & Desensitization with Trenton Ewing
28:55
28:55
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28:55It can be scary to have a dog that goes through a life-threatening reaction to a honeybee sting. Often, these dogs are young and active. Though owners can take preventative measures, it is impossible to guarantee 100% avoidance of these venomous insects. So, what can be done? Trenton Ewing, DVM, DACVD joins the podcast this week to discuss a very e…
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288. Four things I have learned to implement into my derm cases
18:07
18:07
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18:07It is back to school season! For this episode, I review the four things I have learned to implement as a dermatologist. Even as a specialist, I like to progress and grow into how I am practicing! We will go over how to use supplement and skin supportive diets, venomous insect testing, improving immunotherapy and proactive skin management. 00:00 Int…
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287. Zarasyl: the natural science of silica and how it helps wound healing
33:15
33:15
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33:15Skin damage and cutaneous wounds can be frustrating and difficult to manage. With a growing world of antibiotic resistance and difficult cases of skin repair, alternative solutions are needed. Zarasyl combines the natural power of silica to optimize the wound healing environment. The product helps to moisturize while being semi-occlusive to allow o…
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I love getting your questions and answering them on the podcast. This week is one of my favorite topics: cytology! What tips do I have for direct impression smear vs. tape prep? How do I know the appropriate treatment based on quantity of infectious organisms? What is the difference between superficial pyoderma and deep pyoderma? Get your questions…
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285. Neuro and Derm remix (CAT VERSION) with Fred Wininger
25:59
25:59
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25:59Back again! Fred Wininger, VMD, MS, DACVIM (Neurology) rejoins the podcast to talk about cats! Do clinical signs differ from dogs with neuro disease? What about the dreaded feline hyperesthesia syndrome? Should advanced imaging be considered? Check out this week's episode of The Derm Vet podcast to jump into the world of cat neuro/derm! 00:00 Intro…
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284. Neuro and Derm mix tape (DOG VERSION) with Fred Wininger
27:13
27:13
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27:13A neurologist visits the podcast this week! Fred Wininger, VMD, MS, DACVIM (Neurology) has recently opened a state-of-the-art neurology focused specialty center called The Animal Neurology Center in St. Louis, MO! He joins the podcast to discuss the clinical signs that can overlap between neurology and dermatology. Whether a head tilt, nystagmus or…
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You always deliver the best questions when I do grab bag episodes... this one was POPULAR! I got so many questions about different aspects of otitis. Flush, ear meds, cats, TECABO referral, and more! Check out my answers to your top otitis questions on this week's episode of The Derm Vet podcast! Intro 00:00 How To Tell If Otitis Is Due To Allergie…
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282. Catitude: considerations for itchy, anxious kitties with Lisa Radosta
26:04
26:04
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26:04Overgrooming cats can be really difficult in general. Owners often don't see their itchy behavior and just noticed the consequences like a bald belly. In addition, cats can be resistant to veterinary visits and treatments. What if you are concerned that the cat could have a behavioral component to the skin disease? How do you work this up? Is it wo…
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281. Anxious Itches- correlation with itchy dogs and behavior with Lisa Radosta
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26:01Can anxiety in dogs contribute to skin issues? How do you know if the patient needs to start with a dermatologist or behaviorist? Can improving chronic skin disease help a dog's anxiety? This week's podcast welcomes Lisa Radosta, DVM, DACVB who practices at a behavior clinic in Florida. Dr. Radosta provides insight of how a board certified veterina…
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It is really difficult to know what topical treatment options to consider when dealing with a ruptured tympanum. When a difficult multi-drug resistant Pseudomonas otitis occurs, it is very common to have the tympanum ruptured. So, what do you do? Being cautious and upfront with owners about labeling is important. However, bad infections are also ot…
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279. And then what...? How to adjust to long-term management of allergies
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16:14When a patient is going through an allergic flare, we focus on making the pet comfortable which is absolutely reasonable! However, we have to think of the prevention of future flares and frustration for that case. It is important for us to adjust our mindset once relief has been established and think of the long-term plan for that pet. Each plan ca…
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Vasculitis can be a tricky disease. It can be more straightforward with tissue loss at the pinnal tips, but it isn't always that easy! Lesions can vary from claw loss to paw pad lesions to hair loss. Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana for another episode! Dr. Plowgian wanted to disc…
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277. Mentoring and preparing the next generation with Curtis Plowgian
23:00
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23:00As you progress in your career in the veterinary field, how do you help prepare the next generation? Whether you are a specialist, general practitioner, technician, etc. there are always opportunities to mentor. Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana. He wanted to discuss the opportunit…
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I love hearing the information you want to know! This week... I answered questions you submitted on an Instagram question sticker about pyoderma. Why does it happen? Is cytology really that necessary (hint: YES!)? When to culture? Learn the answers to your pesky pyoderma questions on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Int…
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This episode of the podcast welcomes Dr. Kelly Keating, DACVP, DACVD. Dr. Keating sees clinical dermatology cases in Las Vegas and reviews dermatopathology. So, she has experience collecting the biopsy samples herself and reading them! Dr. Keating provides insight on how to maximize your histopathology findings and work with your dermatopathologist…
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Itch and inflammation are terms that are often used in allergies. However, it is important to consider how the various allergy medications affect each of these aspects of management. There are so many different presentations of allergies and no one-size-fits-all protocol. Knowing when you may need a drug more anti-inflammatory and not just anti-itc…
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273. Grab Bag: Canine Atopy with Julia Miller
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33:06She's back! Based on the success of grab bag episodes... Dr. Julia Miller is back to discuss canine atopic dermatitis! It is one of the most common diseases managed in veterinary dermatology. When do you pick a particular allergy medication? Are there allergy supplements that really work? What about ear maintenance? We answer the questions you subm…
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272. Grab Bag: Food Allergy with Julia Miller
30:13
30:13
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30:13We asked, you answered! Food allergy can be complicated and there so many different opinions out there. So, I invited fellow dermatologist and frequent guest on the podcast Dr. Julia Miller to discuss! Dr. Miller is a boarded dermatologist practicing in Louisville, KY. Listen as we take a practical approach regarding when to do a diet trial, what d…
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Cutaneous Malassezia (yeast) hypersensitivity shows up as a marked inflammatory and pruritic response to relatively low numbers of yeast organisms, though some dogs may also have overt infection with many yeast organisms on cytology. There is no specific criteria of how to diagnose these dogs and maintain treatment. However, there are hints of how …
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270. How to be proactive instead of reactive
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15:59
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15:59Allergy management is a long-term game. So, how do clinicians educate clients and use their tools to practice a "proactive" approach rather than a "reactive" approach? Check out this week's episode of The Derm Vet podcast to alter how you manage these itchy pets! TIMESTAMPS 00:00 Intro 01:54 What's a proactive mindset? 06:44 Supplements with good r…
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269. When to suspect pemphigus in dogs and cats
14:22
14:22
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14:22It can be difficult to differentiate pemphigus foliaceus (PF) in certain cases. If there is a lot of infection or inflammation, it can be difficult to tell if the case is autoimmune or allergic. However, there are a few hints between dogs and cats that can give you an indication you are dealing with PF. In dogs, honey colored adherent crusting, fac…
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268. Skin barrier: three ways to repair it
18:08
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18:08When we talk about the multimodal approach to allergy management, a large portion of that is repairing the skin barrier. As the skin is the largest organ in the body and external, it is important to keep it healthy and hydrated. Pets with atopy have genetic defects in their skin that allow allergens to penetrate easily. But, how can you restore the…
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267. I know you hate hearing this, but Google said...
11:28
11:28
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11:28It is the dreaded conversation in the exam room... when the owner brings up what they heard from a friend, the internet, a social media group, etc. You have to control the eye roll or being super defensive because you want to the the only trusted source for medical decisions for the pet. Over the years, this topic has not scared me in the exam room…
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266. [REPLAY] Allergy Spiel: The Atopy Talk
15:29
15:29
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15:29This week's episode is a replay! We ran into some technical difficulties with a guest episode that was scheduled for this week (super excited about this guest) and will release at a later date. Stay tuned! So... you have ruled out flea and food allergy and now it is time for THE talk. The chronic, lifelong, multimodal therapy required atopic dermat…
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265. When that nasty ear doesn't respond...
16:12
16:12
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16:12We have all had those super difficult otitis cases... the debris, infection and discomfort never seem to fully respond to treatment. You keep switching topicals but nothing seems to be working. This episode of The Derm Vet podcast will go over four considerations when managing a nonresponsive otitis case. 1. Infection 2. Inflammation 3. Advanced im…
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Cat dermatology is always a bit tricky. They present their allergies in so many different ways that are unique to this species. Oral lesions and asthma are not as commonly seen in allergic dogs, but often seen in allergic cats. Also, the struggle of administering medications to cats which can be more difficult compared to dogs. I always think of ca…
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263. When to suspect a hormonal disorder in your derm case
17:18
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17:18Hormonal disorders can be very difficult to recognize in dermatology cases, especially since many of these cases have been managed for other conditions like allergies earlier in their life. So, when do you suspect a hormonal disorder in your dog patient? Age of onset, alopecia, recurrent pyoderma and weight gain discussed on this week's episode of …
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Obesity has been an increasing issue in dogs and cats over the years. This could be due to increased caloric intake, reduced physical activity, endocrinopathies, etc. There are many issues that occur with obese pets: cardiac issues, joint pain, organ dysfunction, etc. However, the skin can also be included in these issues. Elbow calluses, fold derm…
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261. Facial fold dermatitis- diagnose, treat and maintain
15:34
15:34
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15:34With brachycephalic breeds being a common allergic patient, facial fold dermatitis is a common occurrence. Clinical signs can include facial rubbing, scratching, odor, etc. Thought it occurs frequently in these patients, it can be easy to overlook this little pocket of tissue during an exam. This week's podcast episode will go over clinical signs, …
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260. Client Compliance: how do veterinarians improve this?
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17:26
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17:26We can feel like we put together a great plan for a pet's allergies, but if it doesn't happen then it doesn't matter. Instead of being frustrated about client compliance, how can we make it better? We have to consider the financial, physical and mental burden pet owners are going through when their pet is diagnosed with a chronic dermatologic disea…
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259. Cyclosporine: the forgotten allergy medication
19:52
19:52
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19:52There have been so many wonderful tools added to our management of allergic dermatitis in dogs over the last decade. Apoquel, Cytopoint and Zenrelia have all been medications that provide quick itch relief with a more targeted approach. However, the use of cyclosporine as an option (except for cats where it is prescribed more frequently) has dwindl…
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Viewing several skin cases day after day can make recognizing different types of skin lesions daunting... However, evaluating skin integrity, alopecia, skin thickness, etc. can help guide the differential list and fine tune the diagnostic approach. Learn more on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 00:25 What and wher…
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257. What does "cytology everything" mean?
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13:59A common phrase around The Derm Vet is "cytology everything". But, what does that actually mean? Looks weird? Cytology. Itchy spot? Cytology. How long to treat an infection? Cytology. Things changed? Cytology. Cytology everything! Learn more on this week's episode of The Derm Vet podcast. TIMESTAMPS 00:00 Intro 00:25 My time at VMX 04:22 Cytology E…
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256. When to send an ear case to derm vs. surgery
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14:22As a general practitioner with a bad ear case, where do you send them... Derm or Surgery? There are some clear cut reasons like severe calcification that can lead to case being best served by surgery. However, there are other things to consider like client expectations, finances, patient compliance, etc. that are not as straightforward. Check out t…
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Picking a food for a diet trial can be really tough. Do you choose hydrolyzed, novel protein, home-cooked, etc.? Is there just ONE perfect diet to rule in or out food allergy? Check out this week's episode of The Derm Vet podcast to learn the ins and outs of selecting a diet. TIMESTAMPS 00:00 Intro 00:25 Novel Protein vs Hydrolyzed 03:36 Changing t…
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254. Anal Sac issues and gut health: how Glandex can help
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36:30Our first interview of the New Year! I'm very excited to interview Dr. James Bascharon. Dr. Bascharon is a veterinarian and CEO & Founder of Vetnique. He is the inventor of Glandex®, a patented formulation and the first medication of its kind for pets with anal sac/gland problems. Anal sac issues are a frequent problem for our pets and can negative…
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As we welcome in the year 2025... there are some ways we can change the practice of veterinary dermatology. Sure, we hope for continued new products, diagnostics, etc. However, there are simple changes that can make right now that will make your practice of dermatology more fun and impactful! Learn the 5 ways on this week's episode of The Derm Vet …
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252. We need to calm down! Releasing the pressure of derm perfection
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11:07With the end of the year comes a lot of reflection... and stress. Working on chronic dermatology cases can provide frustration as many medications and differentials aren't always a slam dunk on the first exam. So, ending the year on a more positive note, learn how derm workups and medication selection aren't perfect for specialists either. Selectio…
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251. How cats and dogs are different with distribution
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13:32Cats and dogs are very different with their skin lesions and distribution is no different. If a dog presents with claw fold disease, the list of differentials is much better than a cat with claw fold skin disease. Throw in oral lesions and otitis... and we have to recognize how there are differences in how we create differential lists. Learn more o…
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It can be hard in a busy practice to fully work up and treat recurrent otitis. I wanted to provide a quick and easy way to reimagine these cases when they walk into your door. When you see an ear case, I want you to think of two Is and two Ws. What are they? Infection Inflammation Wash Why Check out more on this quick and dirty episode of The Derm …
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249. What GPs wish derms knew about the cases they refer
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18:45I asked and you delivered!!!! I wanted to know what general practitioners wish dermatologists knew before they referred a case. You gave me lots of great points! A recurring theme in my responses... write it down! If an owner declines a diagnostic, medication, referral, flea prevention, etc. make sure you write it in the record. If it is there, the…
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It is Thanksgiving in the USA... I asked you what you are thankful for in dermatology. From cytology to Pseudopelade to dermatologists, find out what you were thankful for as listeners and what I am thankful for as a podcaster! TIMESTAMPS Intro 00:00 What The Derm Vet Listeners Are Thankful For 00:44 What Dr. Bourgeois Is Thankful For 15:08 Outro 1…
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Depending on where you live geographically, you may see a lot of deep fungal disease or not much at all. How do you recognize deep fungal disease? What diagnostics can be done? Even if you don't see a lot of deep fungal disease where you live, dogs and cats change environments so it could happen! Learn about blastomycosis, coccidiomycosis, cryptoco…
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Isoxazolines are anti-parasitics that inhibit chloride channels in the nervous systems of invertebrates. This paralyzes and kills parasites by blocking the transmission of neuronal signals. Isoxazolines are more selective to fleas, ticks, and mites than to mammals, including humans, dogs and cats. It has been a game changer for our flea allergic pe…
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Thanks to the isoxazolines... we don't see demodex as much as we used to! However, it is still a disease that can be overlooked and important to recognize and treat. But when treatment can range from nothing to an anti-parasitic... how do you approach these canine cases? Localized vs. Generalized Juvenile-onset vs. Adult-onset Did you know there ar…
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Happy Halloween! I asked for your spooky derm concerns and you delivered! Check out our top 5 sppoookkkyyy derm tips on this week's episode of The Derm Vet podcast. 1. Combining immunosuppressive drugs 2. Feline otitis 3. Cutaneous lymphoma 4. Missteps that can haunt you 5. Pseudomonas otitis TIMESTAMPS 00:00 Intro 01:08 Concern with Combining Immu…
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Derm drugs are SO important! BUT... there is a reason we talk about multimodal therapy being so essential in managing allergic cases. Preventatives, diet, immunotherapy, topicals, supplements, etc. are crucial. However, we have to tailor and customize our plan for each individual patient AND client. Learn how the non-drug management tools can help …
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242. Zenrelia: a new tool for canine allergic dermatitis!
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42:41Here it is... I have questions. You have questions. We all have questions about the new canine allergy medication: Zenrelia. I was able to have Tom Lewis, DVM, DACVD on the podcast who was involved with the initial studies and has prescribed it in over 40 dogs! We jump into many of your commonly asked questions about how this medication works, impl…
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