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Clarence Kvart reported that the Swedish CKCS club's "clear at 24 months" protocol has not reduced the percentage of cavaliers having MVD, and as a result, the Swedish club is considering making the REAL protocol mandatory

(2) Demonstrate parity or improvement in patient-safety and competency expectations compared to existing accrediting bodies

doi: 10.1007/s00125-013-2841-0 32 CalannaSChristensenMHolstJJLaferrreBGluudLLVilsbllTet al

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The CJC-1295 dosage calculator can help with protocol planning