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In the United States, a five month old puppy is old enough to have all his shots, so he should receive his first rabies vaccination as well as the first of three initial vaccines for parvovirus, coronavirus, distemper and adenovirus. This is also a good age to have your puppy neutered or spayed if he/she will not be used for breeding, and to have a heartworm test then be started on heartworm preventative. Prophylactic treatment for hookworms and roundworms can also be done at the same visit.

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