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EPIC's dogs may or may not have had enlarged hearts So, what the EPIC Study really tells us is that this "top tier" study was cobbled together in as superficial and unscientific a manner as possible, to gather 360 MVD-affected dogs which may - or may not - have enlarged hearts

doi: 10.1007/978-1-4939-3771-4_11 41 MercataliLLa MannaFGroenewoudACasadeiRRecineFMiserocchiGet al

Visible improvements in firmness, elasticity, and tissue remodeling typically occur over 36 months, depending on baseline health and consistency of therapy