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The commenter noted that if we do not incorporate this recommendation into our final policy, they would support the second alternative

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If genetic testing for HT is not feasible, it may be reasonable to follow tryptase over time after exclusion of alternative causes such as chronic kidney disease, myeloproliferative disorders and CMCD

This may involve: Ensuring the water dish is always full of fresh, clean water to promote drinking Adding water to dry food Feeding canned food since it is about 75-80% water Sometimes these measures can be sufficient in the early stages of kidney disease in dogs or for other minor issues

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