Managing Acute Allergic Reactions in Pets
Are you a pet owner who's ever had to deal with an acute allergic reaction in your furry friend? I know I have, and let me tell you, it can be a scary experience. That's why it is important to be informed and know what to expect in the event of an allergic reaction, so you can feel more prepared if it ever happens to your pet. In this episode, I'll share my personal experience with my dog's allergic reaction and how I handled the situation. I'll take you through the common signs of an allergic reaction, and what you should do if you suspect your pet is having one.
Listen in as I explain the importance of acting quickly and safely, and how to determine when it's time to seek professional help from your veterinarian. You'll learn how to identify potential allergens and how to manage them to prevent allergic reactions from occurring. We'll also cover what to expect when bringing your pet to the vet for an allergic reaction, including common treatments and medications that may be prescribed.
What You’ll Learn:
What an allergic reaction is.
Signs of an acute allergic reaction.
What you should do if you notice your dog is having a reaction.
When you can treat an allergic reaction at home.
How to detect anaphylaxis in your dog.
When steroids may be used to treat an allergic reaction.
Ideas Worth Sharing:
“You have to remember that common medicines do not work for dogs the same way they work for humans.” - Tyler Sugerman
“If the swelling or hives do not go down after the initial treatment for the allergic reaction, you need to bring them into the veterinarian to make sure it isn’t something else going on.” - Tyler Sugerman
“If you have a dog that has vomited or has diarrhea during the allergic reaction, bring them in immediately. Those dogs are most likely having anaphylaxis.” - Tyler Sugerman
Resources Mentioned:
ASPCA 888-426-4435 or pet poison helpline 855-764-7661
Disorders Involving Anaphylactic Reactions (Type I Reactions, Atopy) in Dogs
Read The Transcript:
Welcome to Vetsplanation. I'm your veterinary host, Tyler, or you can call me Suggs. This podcast is about educating pet parents about what is going on with their furry little loved ones. As an emergency veterinarian, I understand how hard it is to explain complex diseases in terms that are understandable for pet parents in a few short minutes before the next critical case comes in.
In this podcast, we can dive deeper into understanding of what our pets are going through and break down those complex medical terms into easier to understand chunks of information.
Just a quick disclaimer: this podcast is for informational purposes only. This is not meant to be a diagnosis of your pet. If you have questions about diagnostics or treatment options, please talk to your veterinarian about those things.
Remember, we are all practicing veterinary medicine, and medicine is not an exact science. Your veterinarian may have different treatment options. The information I provide here is to help pet parents, and it's not related to my place of work. I'm here for you guys to provide free information and knowledge.
If you like our podcast, consider sharing this podcast with at least one friend or someone else who has pets and could benefit from this.
Now, let's jump into this week's episode.
Tyler Sugerman: Hey everybody, welcome back. So, today, I'm actually going to start with a story. So, when we had our little Lab, when she was a little puppy, she used to sleep in our room in a big kennel. And I was at work when my wife had to put all the kids to sleep and put all the animals to sleep.
And so, she had tried to put our Lab into her kennel, and she noticed that she was just not really settling down. She was whining and she was pacing around, and just could not sleep for some reason. And so, my wife had tried to go to bed, turn off the lights, and just nothing, she still would not lay down. She was just constantly whining and pacing, and my wife did not know what was going on with her.
So, turn on the lights, went to go look at her, and noticed that her eyes were all red and swollen, and her muzzle was all swollen. So, this is actually a very typical presentation for an allergic reaction, and they very much follow suit like that. They usually are just really uncomfortable, and then suddenly, we have swelling of the face and swelling of the eyes, and then now we got to figure out what to do about it. Because most of the time, this either happens really early in the morning or really late at night, it just always happens that way.
So, we're going to talk today about allergic reactions. I have seen quite an uptick of allergic reactions lately, and I think that's because it's starting to get warmer here. At least in Washington, we have more bees out and so we're definitely starting to see more of these come in.
So, we're going to talk about when do you need to bring them into the vet? What can you do at home? And just how we generally treat them.
Alright, so let's start out with what is an allergic reaction? So, basically, it's when the body is being over-exaggerating about its response to some foreign substance.
So, that foreign substance could be a bee sting and the little toxins from the bee sting that your body just overreacts to that and now, creates this big allergic reaction. It could be from an insect bite, so even like spider bites, biting ants, things like that.
I've had a couple of weird ones where it could be things like hay. The dog was introduced to hay and every time it was introduced to hay, had this terrible allergic reaction. Now, what are the classic signs of an allergic reaction?
And there are multiple definitions of allergic reactions, so we're going to talk about what we specifically call an acute allergic reaction because there can be things like food allergies, flea allergies, environmental allergies, and we'll talk about all of those at a different time. But right now, we're just going to focus on an acute allergic reaction.
Acute means it just happened. It's not something that they have been building up in their system and it's usually like pretty fast. So, this is also meaning that we're not quite yet talking about an anaphylactic reaction, I'll talk about those in a minute.
So, this is just a very simple acute allergic reaction. So, some of the first signs are they're restless, (just like my Lab panting) sometimes you'll see them itching, they'll rub at their face a lot or even their body depending on what signs we're seeing.
Usually, they'll start having redness, typically you can actually see it starting around the eyes. You'll see just like this really red ring kind of around their eyes.
I had a little yorkie puppy a couple of weeks ago, that it was so fluffy I couldn't even see any other part, I couldn't tell you if its face was swollen or not, but I could see its eyes around, the eyes like around the eyelids were very red, so I knew that that puppy was having an allergic reaction.
And then facial swelling will start after that. It usually starts on the muzzle, sometimes you can kind of feel the lips. Sometimes, it's only on one side that it starts out on and then goes to the other side. Or sometimes, you'll just see it start on both sides at once. But this facial swelling will then happen, and then they get hives.
So, hives are these little bumps that are all over their body. Typically, the swelling is going to stay towards the face and the muzzle, and typically, the hives are going to stay on the body and on the legs. That's not necessarily to say that the hives can't go onto the head or that the swelling can't go somewhere else, but that's typically where they're going to stay.
So, when those hives happen, it's easier to see on these little short-haired dogs. You can feel them, you can also see their hair just kind of raising a bit, it just looks like they have tiny little spikes all over their fur, but that's actually that they have bumps underneath there or these hives, which we call urticarial. You don't have to know that for when you talk to the veterinarian, but if you notice on their medical records, it says urticaria, that’s what that means, just hives.
Now, if you have a long-haired dog, this definitely makes things a little bit more difficult. Like you can't really see their hair going different ways because really just falls over their body. You can't just run your hands underneath them to feel if there's bumps that way.
I usually find that's the easiest way for me to be able to feel if there's any bumps and they're going to be really tiny, like it's not going to be an easy thing to feel. But most of the time, if they have urticarial, most of the time they'll at least have that swelling around the eyes or facial swelling as well. So, hopefully you can tell by those things.
So, what do you do if you now notice that your dog is having facial swelling, has ring around the eyes, that red ring around the eyes, you notice that they're having bumps or the urticaria or hives on them?
So, you can actually give Benadryl at home. This is something you do not have to bring them into the vet for immediately. If these are just the simple signs that you're seeing, you can just give them Benadryl. So, Benadryl is also called … the other name for it is called diphenhydramine. You can give either one, it doesn't matter if you give the brand name of Benadryl or if you go to the store and pick up the generic of diphenhydramine, they're both going to work the same.
But do make sure you're not giving Benadryl or diphenhydramine that is going to be like the decongestant one. It'll say like Benadryl D that actually has a different chemical in it, and it's going to cause a heart arrhythmia. So, we don't want to give them that, it's just plain regular Benadryl or diphenhydramine.
Most big dogs and most small dogs are going to want to get the adult tablets. It's not very often that I have people give the children's liquid. You can give the children's liquid, you're just going to be giving a lot of it.
So, for our normal dogs, big dogs, small dogs, medium dogs, most of those are going to be able to get that tablet and the dosage of it is one milligram per pound. Now, all Benadryl and diphenhydramine is 25 milligrams per tablet.
So, let's say you have a 25-pound dog, easy enough, just give one tablet. You're going to want to give that three times a day for three days and I'll talk about that in a second. But let's say you have a 75-pound dog or 100-pound dog, this is where people get really nervous about giving them Benadryl and they just give them one tablet which is only 25 milligrams.
Now, I told you it's one milligram per pound. So, that dog should get 100 milligrams, which is four tablets of Benadryl. You have to remember that Benadryl and other drugs don't always work the same way it does with humans and animals.
Dogs need more Benadryl in order to be able to get over their allergic reaction. They just cannot process it the same way that we do, and so they need more of it. So, it's okay to go ahead and give that 100 milligrams of Benadryl.
Luckily, there is a huge margin of safety on Benadryl. So, let's say you accidentally gave 100 milligrams to your 50-pound dog because you thought it was 100 pounds, it's not going to be a big deal, it's not going to cause a huge problem or anything. So, don't be afraid to give them the actual dose that they need.
Now, let's say you have a dog even that is 65 pounds. Well, I'm going to go up on that, I'm going to tell you to do 75 milligrams instead of like cutting tablets in half and stuff, just go up to the next tablet so that we make sure we've covered everything and that they're going to get the appropriate dose.
If you have a tiny dog, you can do — you know you have 25 milligrams that you can divide into quarters, so divided into fourths. So, the smallest dog that we can give a tablet to and will still be pretty appropriate is going to be technically a six-pound dog. But I usually will go for five pounds and up. If your dog is five pounds, it can get a quarter tablet of Benadryl.
Anything else, you're going to have to do the liquid Benadryl which then becomes a little more complicated. So, if you look at the liquid Benadryl dosages, and you'll see that it says 12.5 milligrams per five mils. So, what that means is for every one mil, there are 2.5 milligrams of Benadryl.
I know this is just very confusing, lots of math stuff, but really what this breaks down to is if you have a dog that is two and a half pounds, then you can give one mil of that. At least that way you have a smaller number.
If you have a dog that is then 12 pounds, you're having to give five mils of that. That is a lot like, I don't know if you can really see in your brain how much five mills is, but that's quite a lot and it's hard to be able to give to them, especially because they don't always taste good.
Remember this is a taste for humans, it's not necessarily a taste for dogs. A lot of times, it's cherry flavored or something. If you can get the ones that are unflavored, usually that's a little bit easier on them, but most of the time, it's just hard to give them that much liquid.
So, if you can, like I said, for anything that's five pounds and up, I would just give the tablets of Benadryl, not the liquid of Benadryl. And if you don't really know, if you're, “Like this is so much, I cannot figure out how much I'm supposed to give my one-pound teacup poodle or something,” then just call up to your regular vet or any emergency vet and just ask them like, “This is how much my dog weighs, how much Benadryl can I give?”
They can usually calculate that out pretty easily for you so that way you can give Benadryl at home. Now, like I said in the beginning, you want to make sure that you're giving Benadryl three times a day. So, every eight hours roughly, you know if you do one at six hours and one at 10 hours, it's not going to be a huge deal, but trying to get roughly every eight hours for three days.
The reason why is because if you just give the one dosage, sometimes that allergic reaction just isn't out of the system yet, that substance isn't out of the system that's causing that allergic reaction, and it may make it so that that dog has another allergic reaction or basically a bigger allergic reaction in eight hours.
So, we actually want to give it for three days so that that way we try to minimize that body's allergic reaction to it. So, give it three times a day for three days. And I know with like the liquids and stuff, it's hard and you forget sometimes, but just remember it's just for three days that you got to do it for.
If those signs and symptoms keep coming back though, like even before you give it at the eight-hour mark or before or after you've given it for three days, then you probably need to just bring them into the vet. There may be something else besides an allergic reaction, or maybe they just need a different drug for this as well. Most cases, just giving Benadryl is going to be just fine.
So, we talked a little bit about one reason why you want to bring them into the vet. So, when that allergic reaction is popping up even sooner than that eight hours when you give that next Benadryl tablet or if it's been occurring again after you've given the Benadryl for three days.
Other reasons why you might want to come in are because maybe you've given the Benadryl two, three times now, and really, it's not going away. Those hives and swelling of the face is not going away. If it does not go down at all with the Benadryl, then you just need to come in. There may be something else that's going on with them or maybe we just need to give them a different medication for it.
Now, if you have a type of breed of dog that has the brachycephalic, meaning they have a very smashed face, so things like Bulldogs, Pugs, some Bostons will have that really smashed face as well; Frenchie’s — those all really should come in regardless of whether the Benadryl is helping or not.
Like we really should assess those because unfortunately they can have something called Reiki cephalic syndrome, which is where they have swelling that'll occur in their mouth, in their throat, and it makes it difficult for them to breathe. And sometimes that can be really hard to assess on them just for you at home.
So, I usually say just any flat-faced breed of dog should just come in for those allergic reactions. You can definitely still give them the Benadryl, but have them assessed afterwards and make sure that they're okay. Because that is a life-threatening condition, so we want to make sure they don't get to that point.
Other reasons when you're going to want to come in are going to be if you have a pet that's having severe vomiting or diarrhea, like if you have any vomiting, I usually tell you just go in if you know that they're having an allergic reaction.
Some allergic reactions though, are going to go from having no symptoms of facial swelling or anything, to just severe vomiting, severe diarrhea, and even just collapsing. That is what we call an anaphylactic reaction.
So, when you think of a person who has a peanut allergy, a lot of times they eat the peanut, their lips swell and then their throat swells, they can't breathe, and for them that is an anaphylactic reaction. Dogs are a bit different, most of the time we will see them have the facial swelling, the itchiness, the agitation, and then they'll vomit as well. So, that's just one key piece to let us know as the vet that they did vomit.
If you bring them in for an allergic reaction just let us know. “Hey Phyto did have some vomiting when I noticed that he was having this allergic reaction,” because that tells us to go looking further to see if Phyto does have anaphylaxis.
So, what are some of the things that we're going to look for with anaphylaxis? So, the things that we're looking for is that first, we're just kind of assessing the patient. Apparently, my dog wants to chime in, sorry about that.
But we're going to be looking to see if the patient is upright, if they're bright, alert, walking around, then we're going to be less as concerned of a true anaphylaxis as we are, if there is a patient who's just laying lateral, not moving, looks terrible, then I'm extremely worried about anaphylaxis.
We're also going to be doing some diagnostics. So, the two diagnostics that we can do to check to see if this is an anaphylaxis is one, we can look on ultrasound at the gallbladder. So, around the gallbladder, there's going to be like this black ring that's basically fluid that's building up around the gallbladder and that happens in an allergic reaction.
The fluid just accumulates around there, and that tells us that that pet is having anaphylaxis. The other thing that we can do, because it doesn't always show that gallbladder halo (is what it's called) that halo is that black ring, is sometimes you can look on blood work.
On blood work, a lot of times, the ALT, which I've kind of talked about blood work in a previous episode, I believe it was the last episode even or no two episodes ago, is with the ALT that is a liver enzyme, and that can go up from some sort of trauma that's just happened.
And that's usually going to be these like anaphylaxis. There's been a trauma to the system or trauma to the liver and that ALT will go up. So, those are the two things we can kind of use to assess whether that dog is truly having an anaphylaxis.
There are going to be other things that we may do as well if the dog is having an anaphylaxis. So, let's say Phyto had the swelling, vomited, was looking okay in the hospital, we just did a couple diagnostics and see that his ALT is way high, then we're going to do some other things as well.
One is we're going to check to make sure that their clotting is okay, that they can clot blood. If their liver isn't working correctly, then because of the anaphylaxis, sometimes it makes it to where they can go into things like what's called DIC. I won't get into that because it's a huge, huge thing but it just basically means that that's not good. Like their body is trying to shut down in that case.
And they will start using up all their clotting proteins that they have in their body. And so, if I was to put a needle into them to draw blood, it may not clot very well because they just don't have those clotting factors. So, we want to know like do we have that problem, and then we can start assessing from there like do we need to hospitalize them or is this something that's not going to be a big deal?
So, let's say that this is not a big deal one we've done. We looked at the gallbladder, there's no signs of a halo, we looked at the ALT, either very minimally elevated or not really elevated at all. Then we'll go ahead and give a Benadryl injection.
Even if you've given the tablet of Benadryl, a lot of times we'll still give a Benadryl injection on top of that because the injection just works very quickly versus you have to remember for Benadryl as a tablet, like they have to ingest it. If they eat food at that time, it's going to take even longer for them to go into their bloodstream.
So, a lot of times we're just going to give Benadryl on top of it anyways, which is okay. Like I said, Benadryl has this huge safety margin, so for it to cause a problem for us to give double dose of Benadryl is usually not an issue.
One quick note is the side effect about Benadryl is that usually it will cause sleepiness. We kind of know that already from us, we take one or two Benadryl and we're just like out. Same thing for them, it will cause some drowsiness, usually not so much as it does for us, but it will cause some.
And then sometimes we'll also choose to give a steroid injection. Usually, that's called dexamethasone or Dex SP are the two common ones that we give. But that steroid injection, it does a couple of things.
So, it usually will help with just helping to decrease the swelling, so facial swelling. Whereas the Benadryl is actually helping to stop the allergic reaction. Some of the side effects of steroids is going to be that they're going to have an increased in thirst, so they're going to drink a lot. An increase in urination, so they're going to pee a lot, and then they're going to have an increase in appetite and you don't have to give them more food for that first couple of days.
And usually, if we're doing just an injection unless for about three-ish days, but you don't have to give them more food in that period of time. But I do warn people that if your dog is not the type of dog to go counter surfing or get into trash cans, they will become that dog for the next three days because they're going to be starving. So, just put all the stuff up, lock it away, so that way they can't get into anything.
Now, there is controversy about whether steroids should or should not be used. There was a paper that was done in 2021 that showed that there was no change in response of giving Benadryl only, versus Benadryl on a steroid for some of those patients that did not have anaphylaxis. So, those simple, acute allergic reactions that did not have anaphylaxis.
So, not everybody gives a steroid injection and some people still do. There's really like not a wrong way to do that. But some of the things that we are concerned for as to why we shouldn't give a steroid injection are especially for dogs who have a heart problem. Giving steroids can actually make the heart work harder and can potentially push them into congestive heart failure, which we don't want to do.
Or maybe, the dog is already on an anti-inflammatory, things like Carprofen, Rimadyl, Metacam, Meloxicam — all of those if you give with steroids can cause potentially a gastric ulcer or a stomach ulcer. So, we don't want to really do that either. So, ideally, if we can just give Benadryl, that would be fantastic.
But now, let's say our dog Phyto is in anaphylaxis, then what? Well, then, we have to start assessing like what are we going to do in the hospital. At that point they likely need to be hospitalized, put on IV fluids because their body’s either going to or is already in shock, and we need to help them out of that.
So, giving them IV fluids to help support their blood pressure and try to help get them through this. We're going to give Benadryl for sure because like we have already talked about, there's not a lot of problems with giving Benadryl, and then we have to assess at that point should we give steroids or do we need to give something like epinephrine.
So, epinephrine is an injection that we'll give for — like a lot of times we do it during CPR, but it is also used for these severe anaphylactic cases. It's not going to be that your pet is staining there, it looks great, it's an anaphylaxis, but it looks just fine, it's bright and alert.
We're not going to give it in those situations a lot of times, but we will give it for those pets who are like down, lethargic, laying on their side, not moving, constant vomiting, diarrhea, things like that. We are going to give it in a lot of those situations.
Alright, so real quick is a recap. Most of the time, if you just have those small allergic reactions, a lot of times you're going to be able to give Benadryl if there's just facial swelling or if there's swelling around the eyes, or the hives otherwise known as urticarial. All of those, you can give Benadryl at home one milligram per pound, and three times a day for three days.
Anything else, we want to bring them in for. Swelling of the throat. If it's a Bulldog, Frenchie, any flat face dog that has really flat faces, you want to bring them in. If you have a dog that has vomited or having diarrhea during the allergic reaction or if you just found them outside profusely vomiting and having diarrhea, bring them in immediately, those dogs are most likely going to be in anaphylaxis.
And I'm going to get to some common questions that I get a lot of times. So, one thing that I'd say the number one question is what caused this allergic reaction?
Well, most of the time it's going to be an insect bite, a bee sting, wasp sting, biting ants, spider bites, things like that. But there's no way for me to really know exactly what it is. Like if we find a stinger, obvious stinger, yeah great, we have our answer right there.
But really, there's not like a test that I can do, there's no blood work that I can run to see what they have had an anaphylactic reaction to. So, unfortunately, there's not really like a good way for me to tell you. Other people ask me, “Well, is there anything else? I know that I gave my dog peanut butter and then 20 minutes later, he had an allergic reaction.”
Well, maybe that's possible. Just think about with people. There are people who have nut allergies just in general, they cannot have any sort of nut. My son, he's allergic to one nut, just pistachios. Like who's allergic to just pistachios? That's just a weird thing, right?
But you can have these like weird instances of things that they're allergic to something very specific. You have people who are allergic to chocolate, they're not allergic to anything else, just specifically chocolate.
You can definitely have those same things, like yes for people in general, it's usually like a nut allergy or a shellfish allergy. But think about all the other weird allergens that people say that they have. Strawberry allergies, cantaloupe allergies — you can just have weird things, and so we can have the same thing with our pets as well.
You can just have a dog who has allergic reaction to peanuts, and so it had a peanut allergy. You can have a dog that had hay and has a hay allergic reaction. But the main thing with that is I usually tell people to write down in a journal what they were exposed to for that 20 minutes beforehand.
Because maybe that dog with the hay, yes, he went out to the hay and was rolling around in the hay, but he also went over to the horses, and was rubbing on the horses. Maybe he has a horse allergy, maybe he doesn't have a hay allergy.
But just like keeping a journal so that the next time it happens, you can go look back at it and say, “Well on this other farm that I took him to, there were no horses there, there was only goats, but there was definitely hay there and he was rolling around in it.”
So, now you know this is most likely a hay allergy, not a horse allergy. But a lot of people will focus on just one thing. So, yeah, maybe with the peanut butter dog, we gave peanut butter but we also gave them some other treat, we gave them some cottage cheese or something.
And we just didn't think about the cottage cheese because you automatically assume that people have peanut allergies and therefore, your dog has a peanut allergy and that just might not be the case. So, like I said, just try to write down what they had to be exposed to for the 20 minutes beforehand.
But most of the time, they've been outside 20 minutes beforehand, they come in and then we start having this allergic reaction. So, typically, it's going to be some sort of insect bite or sting. The next question I get very commonly is, “Can my pet have an EpiPen?”
Yes, and no. If they're big enough to get one, then absolutely. You can do an EpiPen, but we're only going to do that in certain situations. If this is a dog that we know has anaphylaxis, then absolutely, a lot of times, we're going to give one because we want to make sure that that dog doesn't go into a severe anaphylaxis and die before they even get to the hospital.
We just have to show you how to use it and just be really responsible for it. If it's just facial swelling, none of the other symptoms, then maybe it's just Benadryl, versus if it's truly like you see them flat out vomiting, diarrhea, not moving, then we're going to tell you to give that epinephrine pen or that EpiPen.
But if the dog is too small, which unfortunately there are a lot of dogs, even medium-sized dogs that are too small, then we can't do an EpiPen. And then your best bet then, is just to give them Benadryl right away and bring them into the hospital like ASAP. Alright, I think that's all for just the general questions I get, those are usually my big ones.
So, I'm going to tell you about my animal fact now. So, we're going to talk about octopus today. So, octopus, a lot of people do know that they have “three hearts.” They actually have like one central heart like ours has.
So, it has a heart that pumps around the blood to the rest of the body, but it also has two other blood pumps. So, they're kind of like hearts but not quite, but they're blood pumps that go directly to their gills to pump out oxygen and stuff through the gills.
The other thing that people may not know though, is they do have what they think of as nine brains. So, they have one central brain like we do, just connects to everything in the body, because we need one brain to tell our heart to pump and to tell us to take breaths and stuff.
Same thing with the octopus, it needs one brain to tell the bodily functions what to do. But they have eight arms, which are not tentacles by the way, they are actually like appendages. So, technically, they think that it's going to be equivalent of two feet and six arms, but they're not tentacles, they're appendages.
So, they have a group of nerve cells, which is kind of like what a brain is, it's a bunch of nerve cells. It's a group of nerve cells that control each appendage or each arm individually as if it's like a small brain — super cool.
I think octopus are really cool, just like the way that they can like move in and out of things. I got to meet the octopus that would predict the Super Bowl winners every year, that was pretty cool. He has a giant like place that he gets all to himself and apparently, he is a really good escape artist, and so he's able to escape really well. And so, they had to like just make it just him in this super enclosed area.
But I also think that's a really interesting thing about them, how they're so smart that they can figure out how to escape from areas as well.
Alright, so if you guys have any questions for me, again, you can email me, find me on Facebook, Twitter, Instagram.
I'm going to be working on doing a TikTok thing and I'm also going to try to get a YouTube video for you guys as well soon, so that hopefully you can watch some of those things as well. Alright, again, thank you guys so much and I will see you next week.
Thanks for listening this week. If you have any questions, comments, suggestions, or you just want to say hi, feel free to email me at suggs@vetsplanationpodcast.com.
You can visit our website at vetsplanationpodcast.com, or you can find us on Facebook, Instagram, or TikTok at Vetsplanation.
Thank you all again for listening and we'll see you back here next week.