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I used to work for a hospital... I thought this was a hippa violation but I looked it up just in case... I think page three of the following link should answer most of you questions... but read on...

I've taken mine many times on an empty stomach with no side effects... if you have trouble taking pills then you might want to eat or drink something first... even just a few bites of bread or a...

My sister, who is also a Doctor of Veterinary Medicine has a cat that does the same thing... she said it's like a nervous twitch that some cats have/do... more common in pure breed cats if I remember...