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I would make sure that a full thyroid panel is run, including frr T4 and free T3 and TgAA. I would do this through Jean Dodds' so you have the benefit of the ranges that she keeps personally since this is a pup.

I would see a K9 chiropractor, as a long shot that it might help. Mega can be caused by signals from the brain stem not getting through right, so I would be curious if aligning all the vertebrae and cervical areas would make a difference. That would be a long shot, but still one of the first things I would try Doctors, worldwide, certified in animal chiropractic by the American Veterinary Chiropractic Association
 
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