I don’t think so, as long as your cat is healthy to begin with 2Merry Christmas T-Shirt. I’m not a vet, but FIV is primarily transmitted through bites and deep scratches (like in a fight) so I’m not worried about that. I give my cat monthly flea meds but I’m not sure if that’s strictly necessary. Sometimes she eats too much grass and then pukes up green hairballs but nothing serious.
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My mom had a cat for many years that spent most of his days outside, but on a long leash attached to an even longer clothesline. We trimmed up the plants so he kept his leash from snagging. He could reach most of the yard and never knew anything different. He chased birds, lay in the 2Merry Christmas T-Shirt, guarded the yard, did everything except Tom catting around.
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I stuck it out past that, but then the first “shift” I volunteered, I discovered that the cat room was run by two older women volunteers who had a whole set of 2Merry Christmas T-Shirt and with which other cats and yelled at you if you diverted from their carefully set, not-ordained-by-anyone-actually-in-charge “rules”. It was like all the stereotypical cat shelter employees had converged on this single location.