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He is experiencing chronic pain that cannot be controlled with medication (your veterinarian can help you determine if your pet is in pain). He has frequent vomiting or diarrhea that is causing dehydration and/or significant weight loss. He has stopped eating or will only eat if you force feed him.
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When your dog is suffering, you will have to make a decision about euthanasia. After you score each category, add up the numbers. If your total score is above 35, then your dog's quality of life is acceptable. If, however, your score is below 35, you should consider euthanasia.

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