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Westies are generally healthy, but like all breeds, they're prone to certain health conditions, including Craniomandibular Osteopathy, Legg-Calve-Perthes Disease, Cataracts, Pulmonary Fibrosis, Patellar Luxation. Not all Westies will get any or all of these diseases, but it's important to be aware of them if you're considering them.
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