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Typical hand warmers have ionizable iron in them, which is extremely toxic to dogs. I would strongly suggest calling your veterinarian immediately and following their instruction - if you can't get in touch with a veterinarian, pack your dog into the car and take him to your local emergency veterinarian immediately. If you have another hand warmer like what your dog ate, or the package it came in, take that with you so the examining veterinarian can see what exactly he/she is dealing with.

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Q: What to do if your dog eats a handwarmer?
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