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When a dog tires quickly on walks that they used to manage easily, loses stamina gradually over weeks, or shows signs of weakness and breathlessness without an obvious cause, the possibility of a metabolic or cardiac issue comes into consideration

doi: 10.1080/13696998.2020.1722678 63 BainSCHansenBBMalkinSJPNuhohoSValentineWJChubbBet al