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Redesignating paragraphs (b)(4)(xxxii) through (b)(4)(lxiii) as (b)(4)(xxxiii) through (b)(4)(lxiv). Recommend using the lowest dose of oral steroid possible to reduce the potential for these complications. So the pet might need more pred per day on average at 48h dosing intervals than daily dosing. The needle is used to access an area known as the sacral hiatus that is above the coccyx, and the steroid is injected directly into the pinched nerves near the very lowest part of the spinal canal.

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