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  I can't tell you. I have never used peepads. I am thinking of trying them next time, but I'm wondering about how affective they are too. I have always used a confined area and then gone right to outside training. It took awhile to 'learn' my dogs own individual 'signal' to 'go'. Some people like the PoochiesBells on the door. I just 'ask' my dogs every half hour when they are young if they want to go pee?' and they have learned over time to respond with a 'bark' or 'speak' to let me know. It took time but works well for me since I'm home most of the time. First a dog must learn basic commands though obviously, so I just take them out every half hour and 'ask' do they want to go pee, and they learn that the words match the door opening to go out. Later after they have learned what 'speak' means, they learn that they must respond with an answer to my question by 'speaking'. If they don't want to go out, then they just sit and stare at me until I guess again. So then I ask, 'do you want food?' and they bark if that is what they want. They have me trained pretty well! But I love the response, they are smart....you have to be willing to give them all of your attention.
 Do I have messes to clean up, yes, sometimes. But usually it is my fault for not paying attention to them sitting at my feet and trying to tell me what they want, or remembering to let them out regularly. Puppies catch on quickly if allowed to go out at regular intervals and taken to the SAME spot every time they go outside. I don't allow them to doddle around either. I give the command to go pee when I take them to the 'spot' and they go or I take them back inside and try again in a few minutes. This teaches them to pee on command so I don't have to stand there and wait for 20 minutes for them to sniff around.
 works for me............
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