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Therefore, a dog with a loud murmur and an enlarged heart is not in heart failure unless it also displays some specific clinical symptoms and signs, such as coughing, dyspnea/orthopnea (difficulty breathing / shortness of breath while lying down), anorexia / cachexia (lack of appetite/involuntary weight loss), edema / ascites (fluid collecting in cavities and tissues), restlessness especially at night

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While most iron supplements can cause digestive disturbances, two potential options may be better tolerated: OptiFerin-C contains ferritin and has helped many of my clients boost their ferritin levels