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If your dog is outside enough to have gotten fleas then your real concern should be heart worms and intestinal worms, which are contracted from bug bites. Your dog should absolutely be on some form of monthly prevention.
Tick populations are exploding in the east and south this year, it’s scientific fact
No
No, do you take them to dog parks or wooded areas?
Understand your concern with preventative chews, but I’d ask your vet what they recommend given the health history. Topicals are not as effective imo