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Toby had his annual exam and HW test today and so I have the invoice here. Our vet stopped doing the 4x test because they found a full blood panel and other indicators would pick up indicators/clues of TBDs (for example low platelets or extreme lethargy are indicative of TBDs). If the full blood panel shows anything off, then they do a tick profile. I asked specifically for a full senior profile for Toby (he's only 6.5 but I'm starting him early and twice yearly) and the total of the senior blood profile, which includes the HW test, is $99.00. The Annual Exam with his vet is $56.00 but lasted over an hour. His Canine Post Pill thyroid test was $26.73. I think these are on the high side, but this veterinary hospital always charges at the high end of the market. They are open 7 days a week, and they are AHAA accredited so I think they charge more because of these things. We are spacing his vaccines over the next month (2 week intervals). Today was his leptospirosis vaccine at $24. His brother Barkley had lepto and we live in a heavy wildlife area so we opt for vaccination. We spent thousands on Barkley when he contracted it. I'm watching Toby today for reactions--none so far.