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I have not come across anything that is a natural preventative for heartworms. In that case the risks of using the Inceptor far outweighs the risk of heartworm, at least in Abby's case, but I know of instances where such medication (Heartguard mostly) caused problems for the dog, so be sure to have a thorough conversation with your vet. Heartworms are one of my biggest fears as well.

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