First, cats love it and meow to give them more. My reason for four stars is simple. I have three cats and one sheds a lot. About every four months she is sick for 3-5 days. The first time this happened we went to the vet who for $900 told us that she was fine and had no blockage but we found it to be a difficult issue as she is also happy to take care of two others cats cares. Mostly she vomits, but real hairballs don't come out of her vomit. So why not buy a formula that claims to prevent hairballs? Well I don't think it works there because our Molly still gets sick at about the same intervals. This is our experience, I hope yours will be better. And yes, we brush our cats regularly.
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