Regal Pet Health

  • Our WODAC Winner


     Congratulations, Robashnee! Please keep an eye on your inbox!

     And thank you to everyone else who visited our stand at WODAC this year.

  • WODAC 2017 - What you need to know

    WODAC logo

    Once again, the Regal team will be visiting the biggest pet show in Africa, the World of Dogs and Cats. We really hope that you will be able to visit WODAC, and will come and say hi to us on our stand.


    Here are the most important details that you need to know about visiting WODAC.

    Event date:

    The event takes place on Friday 14, Saturday 15, and Sunday 16 July 2017.



    The doors will be open during these times:

    Friday: 10:00 - 17:30

    Saturday: 09:00 - 17:30

    Sunday: 09:00 - 17:30



    Tickets will be available from Computicket before the event, or at the door.


    Friday: Adults: R75, Pensioners / Students: R75, Under 12's: free, Under 2's: free

    Saturday: Adults: R100, Pensioners / Students: R80, Under 12's: R50, Under 2's: free

    Sunday: Adults: R100, Pensioners / Students: R80, Under 12's: R50, Under 2's: free


    You can visit the Hall of Cats, the Hall of Pets, and the Hall of Snakes and Reptiles.  There are also plenty of events happening throughout the weekend. These include, but are not limited to, a horse parade, agility event (sponsored by Regal Pet Health), dog jumping and carting, dancing with dogs, flyball, and tunneling.


    Some tips for visitors:

    • *No visitor pets are allowed at the expo
    • *There is an ATM on site


    For more information about WODAC, please visit their website:


    We look forward to seeing you there!


  • Our Survey Competition Winner

    Our Survey Competition Winner

  • From Stressed to Success - Separation Anxiety and Your Dog


    You come home from a long day at the office. You’re dog-tired (pun intended) and ready for a quiet evening at home in front of the TV. The first thing that happens as you walk through the door is your furriest member of the family literally bowls you over in excitement. It’s nice to be missed you think. The next thing you notice is the angry note on your door – your dog has been barking all day and your neighbour is threatening to call Law Enforcement. The third thing you notice is the smell. Fido has defecated and urinated all over your prize Persian rug, and finally you notice is the countless scratches on the front door, and your lounge looks like a scene from the crime channel. What the hell happened while you were gone?

    Fido could be suffering from Separation Anxiety.

    What is Separation Anxiety and what causes it?

    Separation Anxiety, as the name suggests, is the inherent fear of being left alone. Separation Anxiety (or SA for short) is not to be confused with boredom or simulated SA, where the dog is seeking attention by behaving badly. A bored dog will generally eat well while his owner is away, he will chew selective ‘toys’, such as the TV remote and shoes, and his barks are most often monotone. A dog suffering from SA will start showing signs of stress before you even leave the house, will bark frenetically throughout the day, pace up and down, and often howl in distress. Chewing and digging is destructive and they will seldom eat, as they are too stressed to do so.

    The jury’s out as to what causes SA. But there are a number of factors which could be contributing factors:

    - A history of abuse or neglect
    - A change of owner
    - A change of environment (ie moving house)
    - A change in routine


    What can you do to treat SA?

    The first thing to do is to visit your vet or Animal Behaviourist to rule out illness or medical problems, or other behavioural problems

    • Prevention is better than cure

    As the saying goes, prevention is better than cure. SA is definitely preventable when the dog is still a puppy.  Making him comfortable, confident and happy to be left alone is key, and training while still young is the answer to potential problems later on.

    • Gradual Desensitising

    Desensitising your pooch takes patience. What follows are a few guidelines, but we suggest getting in professional help to do it properly.

    • Dogs suffering from separation anxiety pick up on cues before we even leave the house (picking up car keys, opening the garage door etc), so you need to get them used to the idea that you are leaving beforehand. Pick up your car keys, or open the garage door, but don’t leave, just yet. Do this over a period of time, until he doesn’t show any signs of stress at these cues.
    • When he’s ready for the next step, start by moving “out of a sight” for a few minutes, until you eventually do get in your car and drive away, but only leave them alone for a few minutes. When you do leave (and on your return a few minutes later), don’t make a big fuss. Doing so just heightens the fact that you are leaving them.
    • Gradually extend the period “away from home” over a number of weeks, using your intuition as to how long is “enough”.

    As well as desensitising, there are other methods to try at the same time:

    • Distract with food / toys
      • Hide some food in his toys. Licking and trying to get the food out will create hours of entertainment.
      • Hide his food around the house, making it a game to find it.


    • Exercise, exercise, exercise
      • A tired dog is a happy dog. Chances are the more tired he is, the less chance there is of him expending his energy being anxious.
      • Try and take him for a walk, or play a fun game such as tug-of-war just before you are due to leave the house.


    • Medication

    As a last resort, mild sedatives or other medicines have been known to do the trick. But as always, we suggest consulting your vet as to which ones to try. Follow their advice and dosage to the book.

    You can try the Regal Stress and Anxiety Remedy, a herbal nerve tonic that is beneficial for dogs prone to separation anxiety and problem behaviours.

    DO NOT:

    • Scold or punish your dog. This will just cause more stress for your dog and your efforts will be nullified.
    • Get rid of your dog because you don’t know what to do. If you are unable to treat him, seek professional help.


    Common breeds who suffer from Separation Anxiety

    Separation Anxiety can happen to all breeds, but according to professional dog trainer, Katie Finlay the following breeds do seem to be at a higher risk than others:

    • German Shepherd
    • Border Collie
    • Poodle
    • Cavalier King Charles Spaniel
    • Vizsla
    • Labrador Retriever


    While the effects of Separation Anxiety can be infuriating, all is not lost. Tidy up the mess, give your pooch a pat on the head, politely respond to your neighbour’s rude note by saying that you intend to rectify the situation, and give your local vet a call to get the ball rolling. With time, patience and perseverance, you will soon have a happy and confident hound who will be more than happy to be left in his own company.  As for the Persian rug, we suggest a good dry cleaning!

  • Why Every Pet Should Have Pet Insurance

    by Dr Megan Kelly

    sick doggie

    The cost of medical and veterinary bills is increasing every year. Vets, like doctors, are becoming more specialized, and this means that the days of your vet down the road being able to treat your pet for every condition, are decreasing. For example; did you know that there are specialist orthopaedic veterinary surgeons? If your pet has a disc prolapse, your general vet would refer your pet to an orthopaedic specialist. General Practice veterinarians do not have the equipment or the expertise to perform these complicated back surgeries. The estimated cost of this operation is R20 000. The cost for an emergency twisted stomach is R15 000. A total hip replacement is R40 000.

    Would you be able to afford this amount if your pet was diagnosed with this condition today?

    If not, you should consider Pet Insurance. This type of insurance is not for everyday skin problems or stomach upsets. It’s for those emergency situations; for example, when your pet gets hit by a car, gets poisoned, or needs surgery to enable it to walk again. Pet insurance gives you the peace of mind that in an emergency situation that you have the cover to enable the vet to do everything possible to save your pet’s life.

    In emergency situations, diagnostic procedures can be very costly and are important when deciding on the correct treatment for a pet. Without a diagnosis, we don’t know what condition to treat or how to treat it.

    When funds are limited, pets often have to be treated leaving out important diagnostics steps. For example, an MRI to confirm a disc prolapse could cost R5 000. Without doing this procedure, your vet may not be able to treat your pet correctly. Paralysed pets are often put to sleep because their owners are unable to afford the MRI and surgery. But in order to know if your pet needs surgery, an MRI would need to be done.

    Before taking out a pet insurance policy, I would recommend that you do your research. Different companies offer different policies, exclusions, and excesses. It’s best to get your pets insured when they are young, before they have been diagnosed with any conditions. Once your pet has been diagnosed then the insurance company will often exclude that condition. Senior pets or pets over the age of 8 are often not eligible for pet insurance, but this age does change depending on the company. Find a company that has a policy that suits your needs, and get peace of mind so that money is not the deciding factor for your pets’ wellness.

  • Improving Reading with Therapy Dogs

    Can man’s best friend be any more loveable? It would appear so.


    As mentioned in a previous article, Regal is very proud to have partnered with Pets as Therapy South Africa (PAT), a non-profit organisation that facilitates therapeutic visits from pet owners to people in hospitals, retirement homes, frail care facilities and special needs homes to name a few. One of the additional projects PAT is involved in is the Lees – Ukufunda – READ programme which aims to improve the reading skills of children by, you guessed it, reading to an animal, usually dogs.


    Sounds odd? Not at all. Children with speech impediments or confidence issues find it much easier and less stressful reading to a dog who is sitting attentively and making no judgements. Not only does this boost self-esteem, and improve reading and communication skills, it also encourages a love for reading, and let’s face it – it’s fun! As well as improving the child’s reading, children inherently love dogs, and spending this quality time with them will give them a deeper understanding and empathy for animals.


    The Reading Education Assistance Dogs (READ) programme was pioneered in Salt Lake City in the USA in 1999, and today, thousands of registered READ teams work across the globe improving the lives of children through the programme. All READ companions are registered therapy animals who volunteer with their owner/handlers as a team, going to schools, libraries and many other settings as reading companions to children.

    Keen to get involved?

    1. If you are not already registered as a PAT volunteer, register via their website (form available here).
    2. If you are already a PAT volunteer, you can attend one of the ad hoc workshops that take place throughout the year. Visit the READ Workshops page to see when the next one is happening or email Dr Marieanna le Roux for further information at


    In the words of the former White House Press Secretary Bill Moyers, READ is one of those ideas that “pierces the mundane to arrive at the marvellous.”

  • "Are we nearly there yet?"


    The do’s and don’ts of taking your dog on a road trip.

    Your pooch is a part of the family so it’s understandable that you would want to take him on holiday with you. But the dreams of them frolicking on the beach or splashing through mountain streams can easily become a nightmare if you don’t do some research before embarking on the trip.



    • Your research: Does your destination allow pets? Are there any specific rules with regards to pets? How long will it take to get there?
    • How will you be transporting him? In the open boot, on the back seat, in a crate? Your and the dog’s safety is of the utmost importance, so be sure to have the necessary equipment.
    • Plan your stops. Try not to be driving for more than an hour without a designated rest stop.
    • Make sure your dog is comfortable and used to travelling in the car. If the only car trips he has done up till now are trips to the vet, chances are he will be very wary of that big shiny thing with four wheels. Do a few “positive experience” trips, such as trips to the park or beach.
    • Make sure he is used to a crate if you will be transporting him in one – practice by doing a few car trips beforehand.
    • Take your dog for walk to get rid of excess energy before the journey. He’ll be more inclined to sleep once in the car.
    • Consider micro-chipping your dog, so he is easily traceable should he do a runner.
    • If he’s susceptible to car-sickness, chat to your vet about what he can take.


    • Travel with a sick animal. It’s not fair on the dog and will make your holiday pretty miserable too!



    • Ensure the safety of the dog and passengers at all times. One sudden brake and your dog will be catapulting onto your lap or worse. As mentioned above, if necessary, get a doggy seatbelt to restrain him, or purchase a crate.
    • Place a blanket and familiar toys in the boot or crate (if applicable) to ensure your dog’s comfort and to entertain him.
    • Make sure he has relieved himself before departure and feed him a good few hours before you leave so he’s not travelling on a full stomach.
    • Stop often to allow him to stretch his legs, get rid of pent-up energy, relieve himself and have water and a snack. (every hour or so).
    • Pack plastic bags so you can pick up after your dog.


    • Leave your dog in the car, even for a few minutes. The heat inside the car can quickly become an oven.
    • Feed your dog on the move. Rather wait until you are at a rest stop.
    • Let him hang his head out the window. Debris could get into his eyes or he could even be hit by a passing vehicle.
    • Open a car door if your dog is unrestrained. He could easily surprise you and jump out.
    • It’s not recommended to medicate (or sedate) your dog. If you remain calm, and ensure your dog is comfortable at all times, the chances are he will travel well with no need for medication.



    • Allow your dog to run around and get used to the new smells.
    • Obey all rules as laid out by the destination, eg dogs on a leash etc.
    • Stick to your usual routine with regards to feeding times, daily walks etc. Dogs thrive on routine and will ultimately remain happier and calmer.



    • Let your dog run amok. Remain assertive and in control of your pet at all times.
    • Allow your dog to bark incessantly, or go begging to your neighbours. It can be annoying for other holidaymakers and embarrassing for you.

    With a little research and a lot of planning, a trip with your pooch need not be stressful for you or him. And it will make your holiday complete with all members of the family in tow!

  • Help! It's Getting Hot in Here!


    Summer is (thankfully) on its way, and with it rising temperatures. Great news for humans, not good news for dogs left in parked cars.

    A typical scenario: You’re on your way home from walking the dogs, and you realise you are out of milk, bread and a few other groceries. You’ll just be a few minutes you think, so you pull into a shopping centre, wind the windows down a smidge, give the dogs a pat and tell them you’ll be back in a sec, and you rush into the shops to buy your needed goods.

    Did you know? When it’s 21 degrees Celsius outside, it can heat up to 32 degrees inside the car within 10 minutes and 40 degrees in just half an hour. Research has shown that leaving the windows partially open, or even parking in the shade made virtually no difference to the rising temperatures inside the car. Add to this, a dog cools himself by panting and sweating through his paws, but if there is no cool, fresh air to replace the hot air, he has no way to cool himself.

    The possible result? Heatstroke, or even death.


    Exposing an animal to excessive heat is also illegal in South Africa

    According to the Animal Protections Act – Offences in respect of animals:

    Any person who: conveys, carries, confines, secures, restrains or tethers any animal -

    (i)         under such conditions or in such a manner or position or for such a period of time or over such a distance as to cause that animal unnecessary suffering; or

    (ii)        in conditions affording inadequate shelter, light or ventilation or in which such animal is excessively exposed to heat, cold, weather, sun, rain, dust, exhaust gases or noxious fumes

    Shall, subject to the provisions of this Act and any other law, be guilty of an offence and liable on conviction to a fine or to imprisonment for a period not exceeding twelve months or to such imprisonment without the option of a fine.


    The moral of the story? Using our scenario at the top of this post – take the dogs home first, give them some water (after all, walking is a thirsty job) and then hit the shops. It’s just plain cruel to put your dogs willingly in a sauna, so don’t do it. Just don’t.

    What do you do if you see a dog parked in a hot car?

    So you know not to do it, but what if you spot a dog (or dogs) inside a parked car on a warm day? Firstly, don’t smash the window in panic! You could be liable for damage to property. Rather, follow these steps:

    • Asses the dog’s condition (see how to recognise heatstroke below)
    • Write down the car’s make, model and registration
    • Look for a person of authority nearby (such as a security guard) to help
    • Alert the nearby shop managers or the mall’s security and ask them to make an announcement over the PA system
    • If no help is at hand, call the non-emergency line for the police, Animal Anti-Cruelty or even your local vet
    • If the authorities are taking too long to respond, and you (and at least one witness) concur that the animal’s life is in danger, take pictures, and then take the necessary steps to remove him from the car.


    How to recognise heatstroke

    Any of the following could be signs of heatstroke: excessive drooling, panting heavily, extreme lethargy, lack of coordination, vomiting, or completely non-responsive. A dog can suffer irreparable organ damage or even die from heatstroke in as little as 15 minutes.

    Emergency treatment for heatstroke

    Once the dog is out of the car, the key is to get their body temperature down. Get them into a cool environment immediately (an air-conditioned room preferably) and spray/immerse them in cool (not cold) water. Give them something to drink – but try to encourage small sips, rather than big gulps. You can also sponge them with cool water, particularly in the groin, chest and paws to cool them down gradually. Get them to the vet as soon as their breathing has returned to normal for a full assessment and further treatment if necessary.

    And if you happen to spot the offender, either before or after the deed has been done, a few kind (or harsh) words might prompt him or her from doing it again – and it could save a life.

  • Snake Bites - All You Need to Know

    Image source - Image source -

    Spring is here and with it comes warmer weather, colourful flowers, longer days, and the end of hibernation! Yes, unfortunately the warmer weather does mean that the chances of encountering a slithering reptile on your daily walk have increased somewhat. Fortunately, while there are over 130 snake species in South Africa, most of them are not dangerous to animals or humans. However, there are a handful that are venomous and a bite to you or your hound, can be fatal, so we’ve listed the most dangerous snakes found in South Africa below, as well as what to do (and what NOT to do) in the event of being bitten.

    Venomous Snakes in South Africa according to

    • The Black Mamba can be found in the North West, Limpopo, Mpumalanga and Northern KwaZulu-Natal Province. It is Africa's largest venomous snake and can grow up to 4.5 metres. It is one of the fastest snakes and can move at over 20km/hour. The Black Mamba is often olive coloured to dark brown and has a coffin shaped head. It gets its name from the colour of the inside of its mouth which is black. It can inject fast-acting neurotoxins which paralyses. They inject powerful doses of venom and a man can be dead within 20 minutes of being bitten if the fangs hit a major vein or artery.
    • The Puff Adder can be found throughout Southern Africa and are considered extremely dangerous because they do not move out of humans' way. They are thick, heavy bodied snakes that are seldom over 1 metre long. The head is large, flattened and triangular in shape. They vary in colour widely from blackish to brown and have a row of backward pointing dark brown pale edged chevrons along their backs. They also have very long fangs and inject their venom (which is cytotoxic and haemotoxic) deeply. It causes severe pain and swelling in the bitten limb, haemorrhages and nausea. Death is often from secondary effects caused by the swelling, such as kidney failure.
    • The Boomslang can be found all over South Africa except the Northern Cape and part of the Free State. They have very large eyes and a characteristic egg-shaped head. They are highly variable in colour with males being light green to black with black or blue scale edges, and adult females brown or green. As its name suggests, it is usually found in trees or small shrubs. The Boomslang’s venom is haemotoxic and victims die from internal and external bleeding. Their victim can end up bleeding from all orifices. The venom is very slow acting and it can take up to 24 hours for symptoms to appear.
    • Cape Cobra are variable in colour from reddish brown to olive brown, yellowish and black. Found in the Cape Provinces, Free State and south western regions of the Eastern Cape, the Cape Cobra’s signature move is when it raises the forefront of its body off the ground, spreads its hood and makes a hissing sound. When in this defensive mode, it will readily strike. They have powerful neurotoxins that cause paralysis and shuts down breathing.
    • Rinkhals is a related member of the cobra family that have the ability to shoot venom from their fangs usually aiming for a person's face. Found in the Southern Cape, Eastern Cape, Free State and parts of KwaZulu-Natal, they usually spray their venom in a person's eyes and this can cause temporary or permanent blindness.
    • Mozambican Spitting Cobra can be found in the northern areas of South Africa. It is a relatively small and thin snake that can spit its venom between 2 and 3 meters, usually aiming for the eyes.


    If bitten, the symptoms and severity of the bite depend on a wide range of factors; was it a non-venomous or a venomous snake; which species of snake was it; the age and size of the dog (and human), and where the bite occurred. (Bites closer to the heart are more serious as the venom will be pumped through the body rapidly.) In dogs, bites occur most often on the limbs or muzzle.

    Warning signs that your dog has been bitten by a venomous snake

    • Drooling
    • Rapid (or shallow) breathing
    • Dilated pupils
    • Pale gums
    • Vomiting
    • Incontinence
    • Shaking
    • Weakness
    • Collapse
    • In the later stages, paralysis


    What NOT to do in the event of a snake bite

    • The adrenalin rushing through your veins speeds up your metabolism which causes the venom to spread faster. That’s why it’s important to keep your dog calm if your dog is the victim
    • Try and suck the poison out
    • Wash the wound
    • Use a tourniquet
    • Chase and kill the snake


    What TO do in the event of a snake bite

    • Try to identify the snake by taking note of its size, shape of the head and colour patterns. Take a photo if possible.
    • Take the necessary precautions to protect yourself and your dog from further harm, including being bitten by a stressed-out dog.
    • Look for fang marks and wrap a clean bandage on the affected limb snugly (but not too tight).  This will reduce the amount of venom from entering the bloodstream.
    • Try and keep the affected area lower than the heart and get to the nearest animal (or human) hospital as soon as possible.

    The hospital will need to know as much information about the snake as possible in order to treat the victim accordingly. In most cases where a venomous snake bite has occurred, anti-venom will need to be given. The anti-venom is specific to each type of venom so it’s important the doctor knows which one to administer. The Boomslang’s venom for example is haemotoxic, which is slow-acting and the symptoms may only appear later. Creating anti-venom is a very slow and tricky process in which horses are gradually immunized to the venom of a species of snake and then it’s blood collected, separated and purified to make anti-venom, which contains specific antibodies to the toxins in the snake venom. This is a very expensive process, so expect to pay the price.

    Unfortunately, seeing as this is a highly specialised field, not all animal hospitals will stock anti-venom. If you can, call ahead and if your vet/animal hospital is not able to help, they can refer you to the nearest animal medical centre who stocks it. In Cape Town, Cape Animal Medical Centre in Kenilworth (021 - 674 0034), Panorama Veterinary Clinic (021 - 930 6632) and Tygerberg Animal Hospital – Bellville (021) 91 911 91 are some of the few places that stock anti-venom. If you are elsewhere in the country, it’s worth contacting the South African Vaccine Producers (SAVP) which is situated in Sandringham, Johannesburg.  They are the manufacturers of anti-venom in South Africa and can direct you to your nearest stockist. (011) 386-6063/2.

    How to prevent a snake bite from occurring

    • If you are in a known snake habitat, keep your dog on a lead and a keep a sharp look out
    • Stay on marked trails and paths, where it’s easier to spot snakes
    • Don’t let your dog poke his nose in holes or under logs
    • If your dog is particularly curious, pawing at something, call him (or pull him) away. Rather be safe than sorry!
    • If you spot a snake, stop moving. If you and your dog are standing still, it won’t see you as a threat and will more than likely glide away.
    • If it is cornered, back away slowly, giving it an escape route.

    A snake won’t necessarily prey on its victim but it will strike defensively, so an innocent sniff or mis-guided footstep could end up with disastrous consequences. As they say, prevention is better than cure! As we head into summer, be vigilant on your walks, especially if you are walking in a snake’s natural habitat.

  • Not all dog shampoos are created equal

    how-to-bath-your-dog-02Ten ingredients to avoid in dog shampoos

    • Good on you for wanting to keep your dog’s fur and skin in top notch condition by bathing him regularly. (See article on how often we should wash our dogs) But when last did you look at the ingredients on that bottle of dog shampoo? And how safe are they? Just like human shampoos, there are a number of ingredients that can do way more harm than good. Even the so-called ‘natural’ products are often suspect, using only a trace of the natural ingredient to cover up the toxic one. From skin irritants to cancer-causing properties, here are the ingredients to avoid when shopping for dog shampoos.
      Artificial colours (often listed as D&C or Yellow 5) have been associated with many forms of cancer.
    • Insecticides might promise to get rid of fleas and ticks but the chemicals can be very harsh on the animal’s skin and can pose a number of side affects.
    • Foam-producing agents such as Sodium Laureth Sulfate, Sodium Lauryl Sulfate, and Ammonium Laureth Sulfate strip the hair of its natural oils, and can cause skin irritations. They are also known cancer-causing ingredients.
    • Synthetic Fragrances are added on the promise of a nicer-smelling hound. Having him smelling like roses is not worth the fact that synthetic fragrances are most often derived from petroleum which comprise many known toxins leading to compromised immune function, allergic reactions and central nervous system disorders.
    • Cocamidopropyl Betaine is an environmental toxin that affects the immune system.
    • Rubbing alcohol (Isopropyl, propyl) is toxic to a number of organs (the liver in particular) and can affect the lungs and heart.
    • Certain preservatives such as methylchloroisothiazolinone, butylated hydroxyanisole, methylparaben and other parabens.
    • Mineral oils coat the skin, supposedly preventing it from losing moisture and protecting it from environmental hazards, but in fact blocks the pores and causes skin irritation, disturbing the skin’s natural moisture balance.
    • Propylene glycol is the main ingredient in anti-freeze which should tell you a lot in itself. Not only does it cause water retention, it is also toxic to the liver and kidneys.
    • Anti-bacterial ingredients, in particular triclosan, should be avoided. It can cause reproductive and endocrinal disorders.

    Unfortunately, these are just the tip of the ice-berg. As a rule of thumb; if you can’t pronounce it, it’s probably best to avoid it!

    So, what CAN you wash your dog with?

    Look for products that are Ph-balanced to suit your breed as well as products that boast natural skin moisturisers such as vitamin E, aloe vera, and tea tree oil. If fragrance is important to you, chamomile, lavender, eucalyptus, and citrus are good options. These can also act as insect repellents.  Oatmeal shampoos are good for dogs with itchy skin.

    But remember, even so-called natural products can be harbouring dangerous ingredients, so do your research and read the label. Your furry member of the family – as well as the human ones – will thank you!

    **Neither of Regal's shampoos - Skin Healing Shampoo and Tick and Flea Shampoo - contain any of the ingredients that you should avoid**

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