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A thorough veterinary workup is now considered the mandatory first step in any behavioral consultation. Rule out physical pain before hiring a trainer.

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When a dog’s heart rate spikes to 180 beats per minute due to fear of the exam table, its blood pressure becomes unreadable. When a cat hyperventilates in a carrier, its respiratory rate is useless for diagnosis. Fear also suppresses the immune system and elevates cortisol, which can delay healing. A thorough veterinary workup is now considered the

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