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Possible contributing factors include: Reduced blood flow to the inner ear Increased oxidative stress Damage to delicate hearing structures Smoking combined with loud noise exposure may further increase the likelihood of hearing damage over time

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The Brak Show : "Cardburkey": Brak and Clarence move out into cardboard houses in hopes of getting laid

Discuss your puppy's preventive care, deworming schedule, and any new signs you notice with your vet