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gingivitis at the level of the left mandibular premolar teeth approximately 1 month previously. Otherwise, there was no history of inappetence, reluctance to prehend, signs of pain during mastication, or changes in attitude. Apart from intermittent lameness

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in Journal of the American Veterinary Medical Association

, insufficient calcium, or both. 12 Clinical signs include lameness, signs of skeletal pain, and reluctance to walk or stand. 12 Tertiary hyperparathyroidism can develop when chronic secondary hyperparathyroidism results in autonomous secretion of parathyroid

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in Journal of the American Veterinary Medical Association