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Hello & Welcome, Linzbug4ever. I wouldn't be surprised if both the illnesses and the medications are contributing to the flatness. Have you discussed this with your prescribing doctor(s)? Is there any time during the week when you feel relatively better (just before or after a weekend, in the middle of the work week)?
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My dog  mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.
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