I would never use trifexis. I’ve read about alot of dog deaths because of it. I think there is a thread here on the forum & I was just reading a facebook page earlier about trifexis & all the stories of people who’s dogs have died after using it.
For heartworm I use a product called Value Heart, recommended by HDM. Its just ivermectin (sp?). For fleas I give Bailey garlic, I use diatomaceous earth on her, I also use Mercolas natural flea & tick spray, & I just recently started using Sentry natural defense flea & tick (or something like that). Bailey got a few fleas last year, but I was able to get rid of them before they got too bad.
