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I mean, they have year long heartworm shots. It’s not like it’s unheard of for an injectable to last longer than a few months.
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And the scary part: if there’s an unfortunate side effect for you, you’re not getting away from it for half a year. It apparently happens with the injectable long term psychiatric drugs that someone just gets stuck suffering for months on end if that particular drug does not agree with their system.
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Is it common for a medicine to be 100% effective? That seems weird to me.