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10.1016/j.pediatrneurol.2009.02.001 Pediatr

and (d) "acute focal hemorrhages, endothelial papillary hyperplasia, and infiltration of chordae tendinae with glycosaminoglycans were observed in the mitral valves of dogs from the PIMO group but not in those of the BNZ group." They concluded: "This study demonstrates that long-term administration of PIMO in dogs with asymptomatic MVD is associated with an increase in systolic function and, concomitantly, a progressive worsening of MVD with development of specific mitral valve lesions." See also the 2005 study "Increased Mitral Valve Regurgitation and Myocardial Hypertrophy in Two Dogs With Long-Term Pimobendan Therapy", in which normal doses of pimobendan were determined to have increased mitral valve regurgitation and caused ventricular hypertrophy

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[] How low testosterone would lead to increased Alzheimers risk isnt precisely known, but there is some evidence that testosterone has a general protective effect on brain cells , so that lowering testosterone would leave the brain less able to resist the processes leading to Alzheimers dementia

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