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He wrote that dogs which would likely never progress to congestive heart failure (CHF) ought "not be subjected to needless drug administration (and needless expenses)." He raised the suggestion that the EPIC Study's unwarranted conclusion (that all MVD-affected dogs with any heart enlargement need pimobendan before CHF) would be a tremendously unnecessary expense (which may be explained by the drug manufacturer's 100% financial underwriting of the EPIC Study - including research, travel, speaking fees, consultancy fees, and preparation of educational materials for participating cardiologists - and its hoped for additional sales of its very expensive drug)

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Stockwell and Jiang, 2020