German Shepherd Chewing Paws

German Shepherd Chewing Paws (Addressing Your German Shepherd's Chewing Habit)

German Shepherds, known for their intelligence, loyalty, and protective nature, occasionally display behaviors that leave their owners scratching their headsā€”like persistent paw chewing. If you're reading this, chances are you've noticed your German Shepherd nibbling, licking, or even obsessively chewing its paws, and you're trying to decode this canine riddle.

But worry not! We're here to dive deep into this topic and shed light on every corner of this behavior.

Throughout this comprehensive guide, we'll journey to understand why German Shepherds chew their paws, delving into the top reasons that spark this habit. We'll decode the hidden messages behind such actions, helping you discern when it's a casual grooming ritual and a red flag signaling distress.

Plus, if you're searching for actionable solutions, we've got that covered too. Whether it's paw health, emotional concerns, or environmental factors, we're here to provide clarity and guidance.Ā 

So, buckle up as we unravel the enigma of German Shepherd paw chewing and set you on a happier, more informed relationship with your furry companion.

German Shepherd chewing paws simple explanation:

German Shepherds often chew their paws due to various factors, including allergies, anxiety, skin irritations, or boredom. Regularly inspecting their paws and understanding these triggers is crucial. Addressing the root cause will ensure your beloved canine companion's overall health and happiness.

Section 1: Understanding the Behavior

Decoding a dog's actions can sometimes be puzzling. To truly comprehend why our German Shepherds engage in paw chewing, it's vital to delve into the nuances of this behavior. Let's explore the mysteries behind it.

Why is my German Shepherd chewing his paws?

German Shepherds might chew on their paws due to various underlying reasons. Environmental factors, health conditions, or emotional states can influence this behavior. Observing and understanding these triggers is crucial for offering proper care and ensuring your German Shepherd remains comfortable and content.

10 Most Common Reasons Why German Shepherds Chew Their Paws:

  1. Allergies (food or environmental)
  2. Skin infections or fungal issues
  3. Parasites like fleas or ticks
  4. Dry or cracked paws
  5. Foreign objects lodged between toes
  6. Boredom or lack of mental stimulation
  7. Anxiety or stress
  8. Pain or arthritis in the paw area
  9. Behavioral compulsions
  10. Hormonal imbalances or underlying health issues

Allergies (food or environmental)

Allergies are a prevalent cause of paw chewing in German Shepherds. When a dog is exposed to allergens, such as certain foods, pollen, or household chemicals, their immune system reacts, leading to itchy, inflamed skin.

The paws, being sensitive, often bear the brunt of this irritation. German Shepherds tend to chew or lick their paws to soothe the discomfort. Identifying and eliminating the allergen is crucial.

German Shepherd skin allergy

This might involve changing diet, avoiding specific outdoor areas during high pollen times, or using hypoallergenic cleaning products. Consulting with a veterinarian can be beneficial if you are unsure about the allergen. They might recommend allergy testing or prescribe medications to alleviate the symptoms.

Skin infections or fungal issues

Skin infections or fungal issues are another leading cause for German Shepherds to chew their paws. Bacteria and fungi thrive in warm, moist environments, making the spaces between a dog's toes an ideal breeding ground, especially if they get wet often.

Once an infection sets in, it can cause itching, discomfort, and inflammation, prompting the dog to chew or lick the affected area for relief. Addressing this requires a two-pronged approach: keeping the paws clean and dry and seeking medical treatment.

šŸ“ Related blog post:Ā Best Dog Food for German Shepherds With Skin AllergiesĀ 

Regularly checking and cleaning your dog's paws can prevent the onset of infections. If an infection is suspected, it's essential to consult a veterinarian, who may prescribe topical ointments, oral medications, or special shampoos to combat the issue.

Parasites like fleas or ticks

Parasites, particularly fleas and ticks, are notorious culprits behind paw chewing in German Shepherds. These pests bite and feed on a dog's blood, causing intense itching and irritation.Ā 

The paws, being easily accessible, often become a target for the dog to chew and lick in an attempt to find relief. Beyond just the immediate discomfort, some dogs are allergic to flea saliva, exacerbating the itchiness.

Combatting this problem requires regular parasite prevention. Use veterinarian-recommended flea and tick treatments, which come in various forms, such as topical solutions, oral tablets, or collars.

Parasites in dogs ticks

Additionally, routinely inspect your German Shepherd's coat and paws for any signs of these pests. Should an infestation occur, prompt treatment and thorough cleaning of the living environment are essential.

Dry or cracked paws

Dry or cracked paws can be distressing for German Shepherds, leading them to chew on their feet. The pads of a dog's paws are exposed to various harsh surfaces and elements, such as hot asphalt in summer or salted roads in winter. These conditions can strip the natural oils, resulting in dryness and cracks.

Furthermore, some dogs naturally have drier skin, making them more prone. You can use paw balms or moisturizers specially formulated for dogs to alleviate this issue. These provide hydration and create a protective barrier.

Regularly checking your dog's paws for dryness and cracks and avoiding extreme temperatures or irritants are preventive measures. Consult your veterinarian for recommendations tailored to your dog's needs in persistent cases.

Foreign objects lodged between toes

Foreign objects lodged between a German Shepherd's toes can be a significant source of discomfort, leading them to chew incessantly. While playing or walking, small items like pebbles, twigs, burrs, or glass shards can get trapped in the spaces between their toes.

The constant prick or pressure from these foreign bodies can be irritating and even painful. To resolve this, routinely inspect your dog's paws after outdoor activities, ensuring nothing is stuck. If you notice your German Shepherd focusing intently on one paw, check it immediately.

šŸ“ Related blog post:Ā German Shepherd Licking Paws (Decoding Your Shepherd's Behavior)Ā 

Gently spread the toes to look for and remove any foreign objects. If something is embedded deep or causing significant discomfort, it's advisable to seek a veterinarian's assistance to ensure safe removal and prevent potential infections.

Boredom or lack of mental stimulation

Boredom or lack of mental stimulation can lead German Shepherds, a highly intelligent breed, to develop behaviors like paw chewing. Without adequate physical exercise and mental engagement, they may resort to self-soothing activities, and chewing their paws becomes an easy outlet.

Sad depressed German Shepherd dog

This not only alleviates their boredom but also provides a sense of relief. Addressing this issue requires enriching their environment. Incorporate regular walks, play sessions, and training exercises into their routine. Toys that challenge them mentally, like puzzle feeders or interactive toys, can be beneficial.

Consider agility training or other canine activities that engage their body and mind. Keeping your German Shepherd mentally stimulated and physically active can deter unwanted behaviors from boredom.

Anxiety or stress

Anxiety or stress is a prominent reason for paw chewing in German Shepherds. Various triggers, such as changes in the household, loud noises (like thunderstorms or fireworks), separation from family members, or past traumas, can induce anxiety.

In these situations, dogs might chew their paws as a coping mechanism, providing them with a sense of comfort. To address anxiety-induced behaviors, it's vital first to identify and, if possible, minimize the stressor. Creating a safe space or "den" for your dog during anxiety-inducing events can help.

Calming products like anxiety wraps, pheromone diffusers, or soothing music designed for dogs can also be beneficial. Consulting a veterinarian or animal behaviorist for targeted interventions is recommended in chronic cases.

Pain or arthritis in the paw area

Pain or arthritis in the paw area can significantly contribute to German Shepherds chewing their paws. As dogs age, they may develop arthritis, leading to joint inflammation and pain, especially in weight-bearing areas like the paws.

Additionally, injuries or strains might manifest pain in the paw region. Chewing provides a temporary distraction from the discomfort. To address this, regular vet check-ups are crucial to catch and diagnose any early signs of pain or arthritis. Over-the-counter or prescription pain relievers, specially designed for dogs, can alleviate discomfort.

Joint supplements, weight management, and softer sleeping surfaces can also aid in reducing the symptoms. If you suspect pain or arthritis is the cause, always consult your veterinarian for a proper diagnosis and treatment plan.

Behavioral compulsions

Behavioral compulsions can drive German Shepherds to chew their paws repeatedly. These compulsive behaviors often stem from earlier life experiences, trauma, or developed habits.Ā 

Over time, paw chewing becomes ingrained, even if the initial trigger is no longer present. It's akin to humans biting their nails under stress. Tackling this behavior necessitates a combination of behavioral modification techniques. Positive reinforcement, redirecting their attention to toys or play when they begin to chew, can be helpful.

For more persistent cases, working with a professional canine behaviorist is beneficial. They can provide tailored strategies to curb the compulsion. Additionally, ensuring your German Shepherd has ample physical activity and mental stimulation can reduce the inclination to resort to such behaviors.

Hormonal imbalances or underlying health issues

Hormonal imbalances or underlying health issues can be significant contributors to paw chewing in German Shepherds. Conditions like hypothyroidism can lead to skin dryness and discomfort, prompting paw-focused behaviors.

Similarly, other systemic issues might manifest externally as skin problems, making the paws an easy target for a distressed dog. Detecting and addressing these issues necessitates regular veterinary check-ups. A vet can run blood tests or other diagnostics to pinpoint the cause if hormonal or health-related issues are suspected.

Senior German Shepherd dog at vet station

Once diagnosed, treatments can range from hormone replacement therapies to specific medications addressing the root health concern. Ensuring your German Shepherd receives proper medical care and routine check-ups will help in early detection and effective management of underlying conditions.

Why is my dog chewing his paws like crazy?

Dogs, including German Shepherds, often chew their paws due to discomfort from allergies, infections, foreign objects, or stress. It's their way of trying to relieve the itchiness or pain. If your dog is excessively chewing his paws, it's essential to consult a veterinarian to pinpoint the cause and get proper treatment.

When dogs, particularly German Shepherds, chew their paws excessively, it's more than just a quirky behavior; it's often a cry for help. Studies have shown that repetitive dog behaviors like paw chewing can indicate underlying health issues or emotional distress.

Interestingly, over 15% of dogs exhibit some form of compulsive behavior, with paw chewing being among the most common.

Environmental factors play a role too. A study from the University of Helsinki found that urban dogs are more likely to exhibit allergic symptoms, including paw chewing, than their rural counterparts, possibly due to pollutants.

Moreover, according to the American Kennel Club, the onset of such behaviors often coincides with a dog's environment or routine change.

The key takeaway? Persistent paw chewing isn't just a canine idiosyncrasy. It's a sign that your furry friend needs medical or emotional attention. Regular vet visits and keen observation can help address the root cause.

Why does my dog chew and lick his paws so much?

Dogs often chew and lick their paws due to discomfort, which can arise from allergies, infections, dryness, or even anxiety. This behavior is their natural response to soothe irritation. If your dog persistently licks or chews his paws, a veterinarian's assessment is recommended to address the underlying cause.

Chewing and licking of paws in dogs is a fascinating behavioral response rooted in various reasons. Scientific research indicates that certain breeds, including German Shepherds, are more predisposed to allergies, a primary cause of excessive paw licking.

According to PetMD, around 10% of all allergy cases in dogs relate to atopy, an inherited tendency to develop allergic symptoms. This can make their paws itchy, leading to the observed behavior.

German Shepherd dog lick his paws

Additionally, the environment plays a significant role. Studies have revealed that dogs exposed to urban settings with more pollutants and fewer natural terrains exhibit increased paw-licking tendencies. Another intriguing aspect is the emotional side. Dogs, just like humans, resort to certain behaviors when stressed. The act of paw licking releases endorphins, providing temporary relief.

However, prolonged and excessive licking can lead to 'lick granuloma,' a condition where a dog causes injury to itself from incessant licking. As always, observing changes in your pet's behavior and seeking timely veterinary advice is paramount.

Do German Shepherds have problems with their paws?

Yes, German Shepherds, like many dog breeds, can encounter paw issues. Factors such as allergies, terrain injuries, and inherited conditions can affect their paws. Regular checks and prompt veterinary care can help address and prevent paw problems in these loyal companions.

German Shepherds are renowned for their agility and active lifestyles. Their dynamic nature makes their paws constantly exposed to various environments, making them susceptible to specific issues.

One unique trait of German Shepherds is their double coat, which, although it provides protection, can trap moisture, leading to fungal or bacterial infections between the toes.

A survey by the German Shepherd Dog Club of America highlighted that a significant portion of German Shepherds, around 12%, had some form of paw or pad issues during their lifetime. Factors such as the terrain they're exposed to and their activity levels play a role. For instance, German Shepherds actively participating in outdoor activities like herding might have more wear and tear on their paws.

Furthermore, German Shepherds are genetically predisposed to certain autoimmune diseases that can manifest as paw issues. Regular grooming, foot inspections, and protective gear during rigorous activities can go a long way in ensuring the health and comfort of their paws.

Section 2: Identifying Causes and Concerns

Distinguishing the reasons behind your German Shepherd's behavior is pivotal in addressing the concern effectively. This section delves into various causes and highlights when to raise a red flag for your furry friend's well-being. Let's explore together.

What is your dog trying to warn about when they chew their paws?

When dogs chew their paws, they're often signaling discomfort or distress. This behavior can stem from physical irritations like allergies, infections, injuries, or emotional factors such as anxiety or boredom. Observing and addressing the root cause is crucial for their well-being.

What Your Dog is Trying to Tell You When They Chew Their Paws

  • Physical Discomfort: Something might be irritating their skin, be it allergies, infections, or even dry and cracked paws.

  • Emotional Distress: Dogs can resort to paw chewing when they're anxious, stressed, or feeling neglected.

  • Parasitic Infestation: Fleas, ticks, or mites can cause immense itching, leading them to chew their paws for relief.

  • Injury or Pain: A splinter, a small cut, or any physical injury can cause discomfort, prompting them to chew the affected area.

  • Boredom: Lack of physical and mental stimulation can lead to excessive paw chewing to pass the time.

  • Behavioral Compulsions: Some dogs develop compulsive behaviors, and paw chewing can be one such manifestation.

  • Seeking Attention: Sometimes, dogs might chew their paws to get your attention, especially if they've noticed that it makes you react.

  • Environmental Irritants: Walking on hot pavements, snowy paths, or chemically-treated grass can irritate their paws.

  • Dietary Issues: A change in diet or certain food allergies can manifest as itchy skin and paws.

  • Underlying Health Issues: Hormonal imbalances or other systemic health problems can also lead to paw chewing as a symptom.

Dogs possess an incredible ability to communicate their needs, albeit non-verbally. Paw chewing can be more than just a fleeting itch; it's often a dog's way of dealing with underlying issues.

Research from the Journal of Veterinary Behavior found that nearly 20% of dogs exhibit repetitive behavior linked to discomfort or distress, with paw chewing a prevalent sign.

It's fascinating to note that environmental factors can exacerbate this behavior. A study from the University of Bristol demonstrated that dogs in polluted urban environments are more likely to show signs of allergies, which can manifest as excessive paw chewing.

On the emotional front, an American Veterinary Medical Association survey emphasized the importance of mental stimulation for dogs. Lack of engagement or change in routine can manifest in behaviors like paw chewing as a self-soothing mechanism.

Our four-legged companions use paw chewing as a barometer for physical or emotional challenges, making keen observation and care essential.

Do dogs chew their paws when anxious?

Dogs can chew their paws when feeling anxious. Just as humans might bite their nails under stress, dogs use paw chewing as a coping mechanism. Recognizing and addressing their anxiety is crucial to ensure their comfort and well-being.

Anxiety in dogs manifests in various ways, and paw chewing is a telltale sign. According to the American Kennel Club, approximately 14% of dogs exhibit anxiety-induced behaviors, with paw chewing being notably prevalent. It's not just the act but also the intensity; a stressed dog might chew its paws more aggressively and frequently.


Environmental changes, separation anxiety, or traumatic events can trigger this behavior. The Journal of the American Veterinary Medical Association highlighted that dogs separated from their owners or familiar environments often display heightened anxiety behaviors, including paw chewing.

Interestingly, certain breeds, including German Shepherds, are predisposed to anxiety more than others. Hence, understanding breed-specific tendencies can be enlightening.

Mitigating factors causing anxiety and providing a comforting environment can reduce such behaviors. Enrichment toys, consistent routines, and sometimes even therapeutic interventions can be beneficial.

Remember, just as with humans, dogs need emotional care. Observing their behaviors and ensuring their emotional well-being is as vital as their physical health.

Should I let my dog chew his paws?

Occasional paw chewing is natural for dogs, but excessive or obsessive behavior can indicate underlying issues. It's best not to let your dog consistently chew their paws, as it can lead to infections or further complications. Always monitor and seek underlying causes.

Dogs' paws are more than just cute; they're essential for exploration, movement, and communication. While it's common for dogs to groom or chew their paws occasionally, persistent behavior can hint at underlying troubles.

The American Veterinary Medical Association (AVMA) states that over 25% of dogs brought in for dermatological issues have problems directly linked to excessive paw chewing.

Environmental factors like pollen, chemicals in cleaning products, or even specific food allergens can contribute to this behavior. Additionally, a study in the Veterinary Dermatology Journal revealed that certain breeds, including German Shepherds, tend to have more sensitive skin, making them prone to irritations and the resultant paw-chewing.

Regularly inspecting your dog's paws for signs of redness, swelling, or foreign objects is crucial. A healthy paw is a clear indication of overall well-being. Early detection and understanding can prevent more severe issues, ensuring your furry friend's comfort and happiness.

Section 3: Solutions and Prevention

Navigating the world of paw-chewing concerns can be daunting. Fortunately, we can ensure our German Shepherds' paws remain chew-free and healthy with the right strategies and preventive measures. Dive into practical solutions and prevention methods below.

How do you stop your German Shepherd from chewing his paws?

To prevent your German Shepherd from excessively chewing its paws, address underlying causes like allergies, ensure regular grooming, offer mental stimulation, and consult a vet for specific guidance. Timely intervention ensures a happy, itch-free pup!

It's heart-wrenching to see your German Shepherd incessantly nibbling at its paws. But fear not, dear pet owner!

German Shepherd licking chewing his paws

Here's a curated list of the ten best methods to help curb this behavior and bring relief to your beloved furry friend.

  1. Regular Vet Check-ups
  2. High-Quality Diet
  3. Paw Baths
  4. Toys & Distractions
  5. Paw Balms
  6. Anti-Chew Sprays
  7. Regular Grooming
  8. Environmental Adjustments
  9. Stress Reduction
  10. Training & Positive Reinforcement

Regular Vet Check-ups

Consistent vet check-ups play a pivotal role in ensuring the well-being of your German Shepherd. By having a professional assess your dog regularly, you can detect and address underlying issues before they escalate into severe problems that trigger paw chewing.Ā 

From allergies to infections or even unnoticed injuries, a veterinarian has the expertise to identify these triggers. Furthermore, they can provide valuable guidance on treatment options or preventative measures tailored to your dog's unique situation.

In essence, routine vet visits act as a preventive shield, nipping potential causes of paw discomfort in the bud and ensuring your German Shepherd remains happy and healthy.

High-Quality Diet

A high-quality diet is integral for your German Shepherd's overall health, including the well-being of their paws. Just as humans may experience skin issues due to dietary deficiencies, dogs can also manifest discomfort, often through behaviors like paw chewing.

A balanced, nutrient-rich diet ensures that your German Shepherd receives essential vitamins and minerals that support skin and coat health. Moreover, high-quality foods often exclude common allergens that might cause irritations.

By giving your dog the best nourishment, you strengthen their immunity and minimize the chances of skin irritations leading to incessant paw chewing. In essence, what your dog eats directly impacts how they feel.

Paw Baths

Paw baths offer immediate relief to irritated paws and help eliminate allergens and contaminants that may have accumulated on your German Shepherd's feet. Given their adventurous nature, these dogs often trek through various terrains, picking up dust, pollen, and chemicals.

A regular paw bath can cleanse these irritants, relieving itching and discomfort. Additionally, mild dog shampoos or adding colloidal oatmeal to these baths can further soothe inflammation and reduce the urge to chew.

Dog owner cleaning German Shepherd dog paws

Instituting a routine of regular paw baths addresses the immediate issue and offers a preventative measure against future irritations, ensuring your dog's paws remain healthy.

Toys & Distractions

For a breed as active and intelligent as the German Shepherd, mental stimulation is paramount. Often, paw chewing can be an outlet for pent-up energy or boredom. Introducing a variety of toys, especially chew toys, can divert their attention from their paws, giving them a more appropriate outlet for their chewing instincts.

Puzzle toys challenge their cognitive abilities, keeping their minds engaged and occupied. Furthermore, regular playtime and interactive sessions with these toys not only provide a distraction but also strengthen the bond between you and your pet.

Thus, a well-stocked toy box can be an effective tool in curbing unwanted paw-chewing behavior.

Paw Balms

German Shepherds, like many other breeds, can experience dry or irritated paws due to various environmental factors. Paw balms act as a moisturizing agent, soothing dry or cracked pads and creating a protective barrier against harsh surfaces or weather conditions.

With their nourishing ingredients, they promote healing and provide relief from itching or discomfort that might be prompting the chewing. Regular application can ensure the paws remain supple and healthy.

Furthermore, the gentle sensation of balm can deter a dog from further gnawing at the area, making it a dual-action solution for persistent paw-chewers.

Anti-Chew Sprays

Anti-chew sprays are an effective deterrent because they make the paws taste unpleasant to the German Shepherd, discouraging their chewing behavior. These sprays, specifically designed for pets, are safe and often infused with natural ingredients.

When a dog attempts to chew on an area sprayed with the solution, they're met with an off-putting taste, reducing the urge to continue. Over time, the association of this taste with paw-chewing can help break the habit.

Moreover, many sprays also contain soothing agents that can help heal irritated skin, addressing the root of the problem while simultaneously deterring the symptom.

Regular Grooming

Regular grooming is pivotal for a German Shepherd's overall well-being and vital for their paw health. By routinely checking and cleaning their paws, you can spot and remove trapped debris, matted fur, or foreign objects that might cause discomfort.

German Shepherd dog grooming brush and brushing

Regular trimming of the fur between the pads can prevent the accumulation of irritants and reduce the risk of infections. Clipping nails ensures they don't cause pain or change the dog's gait, which could instigate paw chewing.

A well-groomed paw is less prone to issues that might prompt a dog to chew, making regular grooming an indispensable preventive measure.

Environmental Adjustments

Environmental adjustments can significantly reduce the likelihood of paw-chewing in German Shepherds. By identifying potential irritants in your dog's surroundings, such as harsh cleaning chemicals, lawn treatments, or allergenic plants, you can eliminate or minimize exposure.

For instance, using pet-safe cleaning products and opting for natural, hypoallergenic landscaping can make a substantial difference. Adjusting your dog's walking routes to avoid allergen-heavy areas or investing in protective paw gear for challenging terrains can prevent irritations.

These modifications create a healthier environment, reducing the chances of your dog developing paw discomfort that leads to chewing, ensuring their paws remain itch-free and comfortable.

Stress Reduction

Reducing stress plays a crucial role in curbing paw-chewing in German Shepherds. Stress is often an underlying cause of this behavior, and addressing it can yield remarkable results.Ā 

Creating a calm and secure environment for your dog through consistent routines and affectionate interactions can help alleviate anxiety. In more severe cases, products like anxiety wraps or pheromone diffusers designed for dogs can provide a soothing effect.

Engaging in regular exercise, playtime, and mental stimulation can also act as stress busters. By diminishing stress levels, you target the root cause of paw-chewing and contribute to your dog's overall emotional well-being and happiness.

Training & Positive Reinforcement

Training and positive reinforcement techniques are invaluable for curbing paw-chewing behaviors in German Shepherds. You redirect your dog's focus away from their paws by teaching alternative, non-destructive behaviors and rewarding them.

Commands like "leave it" or "quiet" can be particularly effective when coupled with treats or praise for compliance. Consistency is key, ensuring your dog understands what's expected of them.

Additionally, offering engaging toys or interactive play as a reward reinforces the desired behavior and provides mental stimulation, reducing the likelihood of boredom-driven chewing. Through training and positive reinforcement, you address the symptoms, strengthen your bond with your furry companion, and promote overall behavioral well-being.

Final words

In the realm of canine behavior, "German Shepherd Paw Chewing" is a topic that commands attention and compassion from pet owners. Throughout our insightful conversation, we've delved into the myriad facets of this behavior, understanding the underlying causes, potential concerns, and practical solutions.

We've learned that paw-chewing in German Shepherds can signal discomfort due to allergies, infections, or emotional stress. It's not a mere quirk but a communication tool our furry friends use to express their needs. Timely veterinary check-ups, a high-quality diet, and proper grooming practices can help address these underlying issues, ensuring our dogs' paw health.

Our ultimate list of strategies provided a comprehensive roadmap, emphasizing the importance of mental stimulation, environmental adjustments, and stress reduction. Additionally, training and positive reinforcement techniques were highlighted as practical tools for behavioral modification.

By being attuned to our German Shepherds' needs and utilizing these insights and strategies, we can ensure their paw health and overall well-being. Remember, a happy, itch-free pup is a cherished companion, and the journey to that end starts with understanding and proactive care.

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