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Your heartworm preventative will usually take care of light infestations of most intestinal worms. So for mostly indoor dogs that are walked on a leash, that's usually sufficient. if you have outdoor dogs or dogs that gets a lot of off-leash time, you should consider a wormer med.

When you bring your dog in, your vet will probably want to do a fecal to positively identify the parasite(s), so bring a sample with you. A yearly fecal is a good idea in any case.

There are different meds that work on different parasites and there is no point in subjecting your dogs to a stronger med or to more meds than is needed. Ask your vet to recommend a wormer that seems to work best in your locale.
 
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