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Long-term use (more than six weeks) may lead to accumulation and toxicity. [8] High daily intake over a period of months can possibly cause severe fatigue, weakness and neurological symptoms that reverse with discontinuation. [9] Some of the risks of salicylism can apply to the use of bismuth subsalicylate. [10] [11] [12]
Tums (stylized as TUMS) is an antacid made of sucrose (table sugar) and calcium carbonate (CaCO 3) manufactured by Haleon in St. Louis, Missouri, US. They are also available in a sugar-free version. It is an over-the-counter drug, available at many retail stores, including drug stores, grocery stores and mass merchandisers.
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It is not essential for a female dog to either experience a heat cycle or have puppies before spaying, and likewise, a male dog does not need the experience of mating before neutering. Female cats and dogs are seven times more likely to develop mammary tumors if they are not spayed before their first heat cycle . [ 77 ]
The other common system defines "dog years" to be the actual calendar years (365 days each) of a dog's life, and "human years" to be the equivalent age of a human being. [2] By this terminology, the age of a 6-year-old dog is described as 6 dog years or 40–50 human years, a reversal from the previous definition.
In domestic dogs, sexual maturity occurs between the ages of 6 and 12 months for both males and females, although this can be delayed until up to two years of age for some large breeds. [2] Pregnancy is possible as soon as the first estrus cycle , but breeding is not recommended prior to the second cycle. [ 3 ]
Dogs reach sexual maturity and can reproduce during their first year, in contrast to wolves at two years-of-age. Female dogs have their first estrus ("heat") at 6 to 12 months-of-age; smaller dogs tend to come into heat earlier whereas larger dogs take longer to mature.
Specialty professional organizations recommend that people take the lowest effective PPI dose to achieve the desired therapeutic result when used to treat gastroesophageal reflux disease long-term. [ 20 ] [ 21 ] [ 22 ] In the United States, the Food and Drug Administration (FDA) has advised that over-the-counter PPIs, such as Prilosec OTC ...