Thanks. He hasn't had a wellness check recently. He had one about 6 months ago. I will check into the things you mentioned.
He's not itchy or scratching more, although I'm considering keeping him on Simparica Trio all year long. Since I moved to Alabama I've had my dogs on Simparica Trio 9 months of the year, which is what was recommended at the vet office when I first moved here. When I bought my most recent dose (November 1) I talked with the girl at the desk and she was wondering why I was only giving the dogs a 9 month dose.
On another note ticks have been horrible this year (very dry and being called a drought for the area (North Alabama). I've found 5 ticks in my bedroom in the past month. I check them regularly for ticks. They probably brought the ticks in from outdoors even though they were on the Trio. I've taken steps to eliminate ticks indoors.