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However, in a single case report of a 7.8 kg terrier mixed breed dog with compulsive disorder, five months of treatment with 5 mg melatonin twice daily along with a combination of cannabinoids and behavioral therapy reduced compulsive behavior and led to easier management by the owner

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NICE guidance acknowledges that response to treatment varies between individuals

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And if life circumstances require a pause in treatment, whether for travel, surgery, or pregnancy planning, that conversation should happen with the clinical team, not as a decision made alone