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Purina apparently has failed to recognize that other studies have found evidence that a high percentage of cavaliers have a genetic deficiency of medium-chain acyl-coenzyme A dehydrogenase z9 (MCAD), causing epileptic seizures and more severe consequences when fed MCTs as their primary source of fat

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Additional factors that contribute to the final price include the qualifications of the support staff, the accreditation and amenities of the surgical facility, and the use of advanced technology or specialized equipment