In addition, puppies’ ears remain sealed until about thirteen

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CPK is an enzyme called creatine kinase. It is mostly found in the heart, brain and muscle tissues. When there is trauma or damage to those tissues the enzyme is released into the bloodstream where it shows up as an elevated CPK on bloodwork. At first, their retinas are poorly developed and their vision is poor. Puppies are not able to see as well as adult dogs. In addition, puppies’ ears remain sealed until about thirteen to seventeen days after birth, after which they respond more actively to sounds.

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