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Pregnancy toxemia might piggy-back off of other issues such as a severe parasite infection or any other issue that would cause a doe to be losing energy, or occur concurrently with hypocalcemia

Avoid duplicating high doses unless advised

Use in these cattle may cause drug residues in milk and/or in calves born to these cows

Similar results were found in terms of function and by the 12 month follow up mark almost 80% of patients in the shockwave group were happy with their outcome compared to less than 40% in the control group