My moms dog has been in renal failure and congestive heart failure for 4 years. A lot of it is managed with low protein foods (under 6g per serving), but she also sees her vet on a regular basis. Check out Meadow Branch Animal Hospital (specifically Dr. Marcello) here in Winchester. I have taken all my dogs to him since I moved to the area 6 years ago.
Yes it probably is but it's going to cost you the best place is Leesburg TLC
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