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					Originally Posted by yorkiekist  Not being argumentitive in any way. I was just wondering. If heartworm meds are once a month, then how is it out of the system in 4 days? How does it work the rest of the month? Just something to ask your vet about. Maybe it has to do with the cycle of the mosquito.I am sure your vet knows what is best for Max. It definately could be a liver problem also.
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  Heartworm drugs are actually a cure, not a prevention.  Sentinel would kill any larvae at a certain stage and then the drug leaves the system.  It is done about once every 30 days because of the stages that the larvae goes thorough.