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Making use of these reference periods, 63 puppies with ionised hypercalcaemia were identified, of which 23 didn't have complete hypercalcaemia. Only seven of this 23 puppies with ionised hypercalcaemia and complete calcium below the upper restriction for the reference period had hypoalbuminemia. The majority of dogs with ionised hypercalcemia and regular complete calcium had a modest rise in ionised calcium. CLINICAL SIGNIFICANCE If counti