TCM red tongue, phlegm
pulses overall deficient and Ht/Si meridian relative deficient compared to other meridians. narrow muscular tongue.
Overall slight nervous dog but contained. shy/nervous water type?
3 & 1/2 yrs. age
genotype test at Washington State was normal/normal for MDR1 mutation so not genetically sensitive to ivomectin.
We live in North Carolina -- heartworms a big issue we dare not leave her off of heartworm prevention. Maybe yin tonify and give plain ivomectin every 6 weeks? Not sure what to safely advise owner. Thank you, Kim Hombs