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The SELECT trial's cardiovascular benefit data (20% MACE reduction) has been particularly influential in changing payer attitudes, because preventing heart attacks and strokes saves money long-term

The specific complaints about shipping delays and billing suggest operational issues rather than fraudulent behavior, which is consistent with a rapidly growing company scaling its pharmacy partnerships

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Animals with existing health conditions or predispositions may require different feeding frequencies, and it is not uncommon for veterinarians to recommend three to four meals per day for sick, at-risk, growing, or pregnant/lactating dogs