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That's perfect, thank you.
As he is up to date with Advocate, fleas or mites would be much less likely.
In this case, we would consider allergies to other things such as pollens, dust mites or food.
We would consider allergy blood tests.
It is also sensible to do a food allergy trial by feeding a hydrolysed diet for 8 weeks to see if this helps.
In the mean time, it is important to break the itch scratch cycle which, in his case, likely means starting another course of steroids.
If the skin appears infected, we should also swab it and start the most appropriate treatment (antibiotics, anti fungals or a medicated wash).
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All the very best to Dexy.