With these connections also known as shunts , blood that has already returned from the lungs filled with oxygen to the heart actually ends up back in the lungs then back in the heart again.
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I have fed my 7 yr old dog healthy weight for 6 yrs and my 3 yr old the puppy food and now healthy weight and have nevr had a problem… my dogs are 75 and 85 My miniature schnauzer died from internal bleeding 3 years ago.