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NCERT book Class 10 English - A Triumph of Surgery

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 Page 1


READ AND FIND OUT
• Why is Mrs Pumphrey worried about Tricki?
• What does she do to help him? Is she wise in this?
• Who does ‘I’ refer to in this story?
I WAS really worried about Tricki this time. I had pulled up my car
when I saw him in the street with his mistress and I was shocked at
his appearance. He had become hugely fat, like a bloated sausage with
a leg at each corner. His eyes, bloodshot and rheumy, stared straight
ahead and his tongue lolled from his jaws.
Mrs Pumphrey hastened to explain, “He was so listless, Mr Herriot.
He seemed to have no energy. I thought he must be suffering from
malnutrition, so I have been giving him some little extras between
meals to build him up, some malt and cod-liver oil and a bowl of
Horlicks at night to make him sleep — nothing much really.”
“And did you cut down on the sweet things as I told you?”
“Oh, I did for a bit, but he seemed to be so weak I had to relent. He
does love cream cakes and chocolates so. I can’t bear to refuse him.”
I looked down again at the little dog. That was the trouble. Tricki’s
only fault was greed. He had never been known to refuse food; he
would tackle a meal at any hour of the day or night. And I wondered
about all the things Mrs Pumphrey hadn’t mentioned.
“Are you giving him plenty of exercise?”
“Well, he has his little walks with me as you can see, but Hodgkin,
the gardener, has been down with lumbago, so there has been no
ring-throwing lately.”
Tricki, a small dog, is pampered and overfed
by his rich mistress. He falls seriously ill and
his mistress consults a veterinary surgeon. Does
he perform an operation? Does the dog recover?
A T riumph of Surgery
1
Reprint 2024-25
Page 2


READ AND FIND OUT
• Why is Mrs Pumphrey worried about Tricki?
• What does she do to help him? Is she wise in this?
• Who does ‘I’ refer to in this story?
I WAS really worried about Tricki this time. I had pulled up my car
when I saw him in the street with his mistress and I was shocked at
his appearance. He had become hugely fat, like a bloated sausage with
a leg at each corner. His eyes, bloodshot and rheumy, stared straight
ahead and his tongue lolled from his jaws.
Mrs Pumphrey hastened to explain, “He was so listless, Mr Herriot.
He seemed to have no energy. I thought he must be suffering from
malnutrition, so I have been giving him some little extras between
meals to build him up, some malt and cod-liver oil and a bowl of
Horlicks at night to make him sleep — nothing much really.”
“And did you cut down on the sweet things as I told you?”
“Oh, I did for a bit, but he seemed to be so weak I had to relent. He
does love cream cakes and chocolates so. I can’t bear to refuse him.”
I looked down again at the little dog. That was the trouble. Tricki’s
only fault was greed. He had never been known to refuse food; he
would tackle a meal at any hour of the day or night. And I wondered
about all the things Mrs Pumphrey hadn’t mentioned.
“Are you giving him plenty of exercise?”
“Well, he has his little walks with me as you can see, but Hodgkin,
the gardener, has been down with lumbago, so there has been no
ring-throwing lately.”
Tricki, a small dog, is pampered and overfed
by his rich mistress. He falls seriously ill and
his mistress consults a veterinary surgeon. Does
he perform an operation? Does the dog recover?
A T riumph of Surgery
1
Reprint 2024-25
F ootprints without Feet 2
I tried to sound severe: “Now I really mean this. If you don’t cut his
food right down and give him more exercise he is going to be really ill.
You must harden your heart and keep him on a very strict diet.”
Mrs Pumphrey wrung her hands. “Oh I will, Mr Herriot. I’m sure
you are right, but it is so difficult, so very difficult.” She set off, head
down, along the road, as if determined to put the new regime into
practice immediately.
I watched their progress with growing concern. Tricki was tottering
along in his little tweed coat; he had a whole wardrobe of these coats —
for the cold weather and a raincoat for the wet days. He struggled on,
drooping in his harness. I thought it wouldn’t be long before I heard
from Mrs Pumphrey.
The expected call came within a few days. Mrs Pumphrey was
distraught. Tricki would eat nothing. Refused even his favourite dishes;
and besides, he had bouts of vomiting. He spent all his time lying on a
rug, panting. Didn’t want to go for walks, didn’t want to do anything.
I had made my plans in advance. The only way was to get Tricki out
of the house for a period. I suggested that he be hospitalised for about
a fortnight to be kept under observation.
The poor lady almost swooned. She was sure he would pine and die
if he did not see her every day.
But I took a firm line. Tricki was very ill and this was the only way
to save him; in fact, I thought it best to take him without delay and,
Reprint 2024-25
Page 3


READ AND FIND OUT
• Why is Mrs Pumphrey worried about Tricki?
• What does she do to help him? Is she wise in this?
• Who does ‘I’ refer to in this story?
I WAS really worried about Tricki this time. I had pulled up my car
when I saw him in the street with his mistress and I was shocked at
his appearance. He had become hugely fat, like a bloated sausage with
a leg at each corner. His eyes, bloodshot and rheumy, stared straight
ahead and his tongue lolled from his jaws.
Mrs Pumphrey hastened to explain, “He was so listless, Mr Herriot.
He seemed to have no energy. I thought he must be suffering from
malnutrition, so I have been giving him some little extras between
meals to build him up, some malt and cod-liver oil and a bowl of
Horlicks at night to make him sleep — nothing much really.”
“And did you cut down on the sweet things as I told you?”
“Oh, I did for a bit, but he seemed to be so weak I had to relent. He
does love cream cakes and chocolates so. I can’t bear to refuse him.”
I looked down again at the little dog. That was the trouble. Tricki’s
only fault was greed. He had never been known to refuse food; he
would tackle a meal at any hour of the day or night. And I wondered
about all the things Mrs Pumphrey hadn’t mentioned.
“Are you giving him plenty of exercise?”
“Well, he has his little walks with me as you can see, but Hodgkin,
the gardener, has been down with lumbago, so there has been no
ring-throwing lately.”
Tricki, a small dog, is pampered and overfed
by his rich mistress. He falls seriously ill and
his mistress consults a veterinary surgeon. Does
he perform an operation? Does the dog recover?
A T riumph of Surgery
1
Reprint 2024-25
F ootprints without Feet 2
I tried to sound severe: “Now I really mean this. If you don’t cut his
food right down and give him more exercise he is going to be really ill.
You must harden your heart and keep him on a very strict diet.”
Mrs Pumphrey wrung her hands. “Oh I will, Mr Herriot. I’m sure
you are right, but it is so difficult, so very difficult.” She set off, head
down, along the road, as if determined to put the new regime into
practice immediately.
I watched their progress with growing concern. Tricki was tottering
along in his little tweed coat; he had a whole wardrobe of these coats —
for the cold weather and a raincoat for the wet days. He struggled on,
drooping in his harness. I thought it wouldn’t be long before I heard
from Mrs Pumphrey.
The expected call came within a few days. Mrs Pumphrey was
distraught. Tricki would eat nothing. Refused even his favourite dishes;
and besides, he had bouts of vomiting. He spent all his time lying on a
rug, panting. Didn’t want to go for walks, didn’t want to do anything.
I had made my plans in advance. The only way was to get Tricki out
of the house for a period. I suggested that he be hospitalised for about
a fortnight to be kept under observation.
The poor lady almost swooned. She was sure he would pine and die
if he did not see her every day.
But I took a firm line. Tricki was very ill and this was the only way
to save him; in fact, I thought it best to take him without delay and,
Reprint 2024-25
A Triumph of Surgery 3
followed by Mrs Pumphrey’s wailings, I marched out to the car carrying
the little dog wrapped in a blanket.
The entire staff was roused and maids rushed in and out bringing
his day bed, his night bed, favourite cushions, toys and rubber rings,
breakfast bowl, lunch bowl, supper bowl. Realising that my car would
never hold all the stuff, I started to drive away. As I moved off, Mrs
Pumphrey, with a despairing cry, threw an armful of the little coats
through the window. I looked in the mirror before I turned the corner
of the drive; everybody was in tears.
Out on the road, I glanced down at the pathetic little animal gasping
on the seat by my side. I patted the head and Tricki made a brave
effort to wag his tail. “Poor old lad,” I said. “You haven’t a kick in you
but I think I know a cure for you.”
READ AND FIND OUT
• Is the narrator as rich as Tricki’s mistress?
• How does he treat the dog?
• Why is he tempted to keep Tricki on as a permanent guest?
• Why does Mrs Pumphrey think the dog’s recovery is “a
triumph of surgery”?
At the surgery, the household dogs surged round me. Tricki looked
down at the noisy pack with dull eyes and, when put down, lay motionless
on the carpet. The other dogs, after sniffing round him for a few seconds,
decided he was an uninteresting object and ignored him.
I made up a bed for him in a warm loose box next to the one where
the other dogs slept. For two days I kept an eye on him, giving him no
food but plenty of water. At the end of the second day he started to
show some interest in his surroundings and on the third he began to
whimper when he heard the dogs in the yard.
When I opened the door, Tricki trotted out and was immediately
engulfed by Joe, the greyhound, and his friends. After rolling him over
and thoroughly inspecting him, the dogs moved off down the garden.
Tricki followed them, rolling slightly with his surplus fat.
Later that day, I was present at feeding time. I watched while Tristan
slopped the food into the bowls. There was the usual headlong rush
followed by the sounds of high-speed eating; every dog knew that if he
fell behind the others he was liable to have some competition for the
last part of his meal.
Reprint 2024-25
Page 4


READ AND FIND OUT
• Why is Mrs Pumphrey worried about Tricki?
• What does she do to help him? Is she wise in this?
• Who does ‘I’ refer to in this story?
I WAS really worried about Tricki this time. I had pulled up my car
when I saw him in the street with his mistress and I was shocked at
his appearance. He had become hugely fat, like a bloated sausage with
a leg at each corner. His eyes, bloodshot and rheumy, stared straight
ahead and his tongue lolled from his jaws.
Mrs Pumphrey hastened to explain, “He was so listless, Mr Herriot.
He seemed to have no energy. I thought he must be suffering from
malnutrition, so I have been giving him some little extras between
meals to build him up, some malt and cod-liver oil and a bowl of
Horlicks at night to make him sleep — nothing much really.”
“And did you cut down on the sweet things as I told you?”
“Oh, I did for a bit, but he seemed to be so weak I had to relent. He
does love cream cakes and chocolates so. I can’t bear to refuse him.”
I looked down again at the little dog. That was the trouble. Tricki’s
only fault was greed. He had never been known to refuse food; he
would tackle a meal at any hour of the day or night. And I wondered
about all the things Mrs Pumphrey hadn’t mentioned.
“Are you giving him plenty of exercise?”
“Well, he has his little walks with me as you can see, but Hodgkin,
the gardener, has been down with lumbago, so there has been no
ring-throwing lately.”
Tricki, a small dog, is pampered and overfed
by his rich mistress. He falls seriously ill and
his mistress consults a veterinary surgeon. Does
he perform an operation? Does the dog recover?
A T riumph of Surgery
1
Reprint 2024-25
F ootprints without Feet 2
I tried to sound severe: “Now I really mean this. If you don’t cut his
food right down and give him more exercise he is going to be really ill.
You must harden your heart and keep him on a very strict diet.”
Mrs Pumphrey wrung her hands. “Oh I will, Mr Herriot. I’m sure
you are right, but it is so difficult, so very difficult.” She set off, head
down, along the road, as if determined to put the new regime into
practice immediately.
I watched their progress with growing concern. Tricki was tottering
along in his little tweed coat; he had a whole wardrobe of these coats —
for the cold weather and a raincoat for the wet days. He struggled on,
drooping in his harness. I thought it wouldn’t be long before I heard
from Mrs Pumphrey.
The expected call came within a few days. Mrs Pumphrey was
distraught. Tricki would eat nothing. Refused even his favourite dishes;
and besides, he had bouts of vomiting. He spent all his time lying on a
rug, panting. Didn’t want to go for walks, didn’t want to do anything.
I had made my plans in advance. The only way was to get Tricki out
of the house for a period. I suggested that he be hospitalised for about
a fortnight to be kept under observation.
The poor lady almost swooned. She was sure he would pine and die
if he did not see her every day.
But I took a firm line. Tricki was very ill and this was the only way
to save him; in fact, I thought it best to take him without delay and,
Reprint 2024-25
A Triumph of Surgery 3
followed by Mrs Pumphrey’s wailings, I marched out to the car carrying
the little dog wrapped in a blanket.
The entire staff was roused and maids rushed in and out bringing
his day bed, his night bed, favourite cushions, toys and rubber rings,
breakfast bowl, lunch bowl, supper bowl. Realising that my car would
never hold all the stuff, I started to drive away. As I moved off, Mrs
Pumphrey, with a despairing cry, threw an armful of the little coats
through the window. I looked in the mirror before I turned the corner
of the drive; everybody was in tears.
Out on the road, I glanced down at the pathetic little animal gasping
on the seat by my side. I patted the head and Tricki made a brave
effort to wag his tail. “Poor old lad,” I said. “You haven’t a kick in you
but I think I know a cure for you.”
READ AND FIND OUT
• Is the narrator as rich as Tricki’s mistress?
• How does he treat the dog?
• Why is he tempted to keep Tricki on as a permanent guest?
• Why does Mrs Pumphrey think the dog’s recovery is “a
triumph of surgery”?
At the surgery, the household dogs surged round me. Tricki looked
down at the noisy pack with dull eyes and, when put down, lay motionless
on the carpet. The other dogs, after sniffing round him for a few seconds,
decided he was an uninteresting object and ignored him.
I made up a bed for him in a warm loose box next to the one where
the other dogs slept. For two days I kept an eye on him, giving him no
food but plenty of water. At the end of the second day he started to
show some interest in his surroundings and on the third he began to
whimper when he heard the dogs in the yard.
When I opened the door, Tricki trotted out and was immediately
engulfed by Joe, the greyhound, and his friends. After rolling him over
and thoroughly inspecting him, the dogs moved off down the garden.
Tricki followed them, rolling slightly with his surplus fat.
Later that day, I was present at feeding time. I watched while Tristan
slopped the food into the bowls. There was the usual headlong rush
followed by the sounds of high-speed eating; every dog knew that if he
fell behind the others he was liable to have some competition for the
last part of his meal.
Reprint 2024-25
F ootprints without Feet 4
When they had finished, Tricki took a walk round the shining bowls,
licking casually inside one or two of them. Next day, an extra bowl was
put out for him and I was pleased to see him jostling his way towards it.
From then on, his progress was rapid. He had no medicinal treatment
of any kind but all day he ran about with the dogs, joining in their
friendly scrimmages. He discovered the joys of being bowled over, tramped
on and squashed every few minutes. He became an accepted member of
the gang, an unlikely, silky little object among the shaggy crew, fighting
like a tiger for his share at mealtimes and hunting rats in the old hen-
house at night. He had never had such a time in his life.
All the while, Mrs Pumphrey hovered anxiously in the background,
ringing a dozen times a day for the latest bulletins. I dodged the
questions about whether his cushions were being turned regularly or
his correct coat worn according to the weather; but I was able to tell
her that the little fellow was out of danger and convalescing rapidly.
The word ‘convalescing’ seemed to do something to Mrs Pumphrey.
She started to bring round fresh eggs, two dozen at a time, to build up
Tricki’s strength. For a happy period my partners and I had two eggs
each for breakfast, but when the bottles of wine began to arrive, the
real possibilities of the situation began to dawn on the household.
It was to enrich Tricki’s blood. Lunch became a ceremonial occasion
with two glasses of wine before and several during the meal.
Reprint 2024-25
Page 5


READ AND FIND OUT
• Why is Mrs Pumphrey worried about Tricki?
• What does she do to help him? Is she wise in this?
• Who does ‘I’ refer to in this story?
I WAS really worried about Tricki this time. I had pulled up my car
when I saw him in the street with his mistress and I was shocked at
his appearance. He had become hugely fat, like a bloated sausage with
a leg at each corner. His eyes, bloodshot and rheumy, stared straight
ahead and his tongue lolled from his jaws.
Mrs Pumphrey hastened to explain, “He was so listless, Mr Herriot.
He seemed to have no energy. I thought he must be suffering from
malnutrition, so I have been giving him some little extras between
meals to build him up, some malt and cod-liver oil and a bowl of
Horlicks at night to make him sleep — nothing much really.”
“And did you cut down on the sweet things as I told you?”
“Oh, I did for a bit, but he seemed to be so weak I had to relent. He
does love cream cakes and chocolates so. I can’t bear to refuse him.”
I looked down again at the little dog. That was the trouble. Tricki’s
only fault was greed. He had never been known to refuse food; he
would tackle a meal at any hour of the day or night. And I wondered
about all the things Mrs Pumphrey hadn’t mentioned.
“Are you giving him plenty of exercise?”
“Well, he has his little walks with me as you can see, but Hodgkin,
the gardener, has been down with lumbago, so there has been no
ring-throwing lately.”
Tricki, a small dog, is pampered and overfed
by his rich mistress. He falls seriously ill and
his mistress consults a veterinary surgeon. Does
he perform an operation? Does the dog recover?
A T riumph of Surgery
1
Reprint 2024-25
F ootprints without Feet 2
I tried to sound severe: “Now I really mean this. If you don’t cut his
food right down and give him more exercise he is going to be really ill.
You must harden your heart and keep him on a very strict diet.”
Mrs Pumphrey wrung her hands. “Oh I will, Mr Herriot. I’m sure
you are right, but it is so difficult, so very difficult.” She set off, head
down, along the road, as if determined to put the new regime into
practice immediately.
I watched their progress with growing concern. Tricki was tottering
along in his little tweed coat; he had a whole wardrobe of these coats —
for the cold weather and a raincoat for the wet days. He struggled on,
drooping in his harness. I thought it wouldn’t be long before I heard
from Mrs Pumphrey.
The expected call came within a few days. Mrs Pumphrey was
distraught. Tricki would eat nothing. Refused even his favourite dishes;
and besides, he had bouts of vomiting. He spent all his time lying on a
rug, panting. Didn’t want to go for walks, didn’t want to do anything.
I had made my plans in advance. The only way was to get Tricki out
of the house for a period. I suggested that he be hospitalised for about
a fortnight to be kept under observation.
The poor lady almost swooned. She was sure he would pine and die
if he did not see her every day.
But I took a firm line. Tricki was very ill and this was the only way
to save him; in fact, I thought it best to take him without delay and,
Reprint 2024-25
A Triumph of Surgery 3
followed by Mrs Pumphrey’s wailings, I marched out to the car carrying
the little dog wrapped in a blanket.
The entire staff was roused and maids rushed in and out bringing
his day bed, his night bed, favourite cushions, toys and rubber rings,
breakfast bowl, lunch bowl, supper bowl. Realising that my car would
never hold all the stuff, I started to drive away. As I moved off, Mrs
Pumphrey, with a despairing cry, threw an armful of the little coats
through the window. I looked in the mirror before I turned the corner
of the drive; everybody was in tears.
Out on the road, I glanced down at the pathetic little animal gasping
on the seat by my side. I patted the head and Tricki made a brave
effort to wag his tail. “Poor old lad,” I said. “You haven’t a kick in you
but I think I know a cure for you.”
READ AND FIND OUT
• Is the narrator as rich as Tricki’s mistress?
• How does he treat the dog?
• Why is he tempted to keep Tricki on as a permanent guest?
• Why does Mrs Pumphrey think the dog’s recovery is “a
triumph of surgery”?
At the surgery, the household dogs surged round me. Tricki looked
down at the noisy pack with dull eyes and, when put down, lay motionless
on the carpet. The other dogs, after sniffing round him for a few seconds,
decided he was an uninteresting object and ignored him.
I made up a bed for him in a warm loose box next to the one where
the other dogs slept. For two days I kept an eye on him, giving him no
food but plenty of water. At the end of the second day he started to
show some interest in his surroundings and on the third he began to
whimper when he heard the dogs in the yard.
When I opened the door, Tricki trotted out and was immediately
engulfed by Joe, the greyhound, and his friends. After rolling him over
and thoroughly inspecting him, the dogs moved off down the garden.
Tricki followed them, rolling slightly with his surplus fat.
Later that day, I was present at feeding time. I watched while Tristan
slopped the food into the bowls. There was the usual headlong rush
followed by the sounds of high-speed eating; every dog knew that if he
fell behind the others he was liable to have some competition for the
last part of his meal.
Reprint 2024-25
F ootprints without Feet 4
When they had finished, Tricki took a walk round the shining bowls,
licking casually inside one or two of them. Next day, an extra bowl was
put out for him and I was pleased to see him jostling his way towards it.
From then on, his progress was rapid. He had no medicinal treatment
of any kind but all day he ran about with the dogs, joining in their
friendly scrimmages. He discovered the joys of being bowled over, tramped
on and squashed every few minutes. He became an accepted member of
the gang, an unlikely, silky little object among the shaggy crew, fighting
like a tiger for his share at mealtimes and hunting rats in the old hen-
house at night. He had never had such a time in his life.
All the while, Mrs Pumphrey hovered anxiously in the background,
ringing a dozen times a day for the latest bulletins. I dodged the
questions about whether his cushions were being turned regularly or
his correct coat worn according to the weather; but I was able to tell
her that the little fellow was out of danger and convalescing rapidly.
The word ‘convalescing’ seemed to do something to Mrs Pumphrey.
She started to bring round fresh eggs, two dozen at a time, to build up
Tricki’s strength. For a happy period my partners and I had two eggs
each for breakfast, but when the bottles of wine began to arrive, the
real possibilities of the situation began to dawn on the household.
It was to enrich Tricki’s blood. Lunch became a ceremonial occasion
with two glasses of wine before and several during the meal.
Reprint 2024-25
A Triumph of Surgery 5
We could hardly believe it when the brandy came to put a final edge
on Tricki’s constitution. For a few nights the fine spirit was rolled
around, inhaled and reverently drunk.
They were days of deep content, starting well with the extra egg in
the morning, improved and sustained by the midday wine and finishing
luxuriously round the fire with the brandy.
It was a temptation to keep Tricki on as a permanent guest, but
I knew Mrs Pumphrey was suffering and after a fortnight, felt
compelled to phone and tell her that the little dog had recovered
and was awaiting collection.
Within minutes, about thirty feet of gleaming black metal drew up
outside the surgery. The chauffeur opened the door and I could just
make out the figure of Mrs Pumphrey almost lost in the interior. Her
hands were tightly clasped in front of her; her lips trembled. “Oh, Mr
Herriot, do tell me the truth. Is he really better?”
“Yes, he’s fine. There’s no need for you to get out of the car — I’ll go
and  fetch him.”
I walked through the house into the garden. A mass of dogs was
hurtling round and round the lawn and in their midst, ears flapping,
tail waving, was the little golden figure of Tricki. In two weeks he had
been transformed into a lithe, hard-muscled animal; he was keeping
up well with the pack, stretching out in great bounds, his chest almost
brushing the ground.
I carried him back along the passage to the front of the house. The
chauffeur was still holding the car door open and when Tricki saw his
Reprint 2024-25
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FAQs on NCERT book Class 10 English - A Triumph of Surgery

1. What is the article 'A Triumph of Surgery' about?
Ans. 'A Triumph of Surgery' is an article written by James Herriot about a farmer named Mr. Pumphrey who had a Pekingese dog named Tricki. The article describes how Tricki became overweight and unhealthy due to overfeeding by his owner, and how James Herriot helped Mr. Pumphrey to put Tricki on a diet and get him back to a healthy weight through surgery.
2. What was the reason for Tricki's poor health?
Ans. Tricki's poor health was due to overfeeding by his owner, Mr. Pumphrey. Mr. Pumphrey was very fond of Tricki and would give him extra food and treats, which led to Tricki becoming overweight and developing health problems.
3. How did James Herriot help Mr. Pumphrey with Tricki's weight problem?
Ans. James Herriot helped Mr. Pumphrey with Tricki's weight problem by putting the dog on a strict diet and exercise regimen. He recommended that Tricki be fed a balanced diet of dog food in measured portions, and that he be taken for walks and given regular exercise. When Tricki's weight did not improve with these measures, James Herriot performed surgery to remove a large fatty tumor that was contributing to Tricki's obesity.
4. What is the message of the article 'A Triumph of Surgery'?
Ans. The message of the article 'A Triumph of Surgery' is that overfeeding and under-exercising pets can lead to serious health problems, and that owners should be responsible for their pets' health and well-being. The article also highlights the importance of regular veterinary check-ups and the role that veterinarians can play in helping pets to lead healthy lives.
5. What are some common health problems that can arise from overfeeding pets?
Ans. Overfeeding pets can lead to a variety of health problems, including obesity, diabetes, heart disease, joint problems, and respiratory problems. Obesity in pets can also increase the risk of certain types of cancer, as well as other health issues related to inflammation and immune system dysfunction.
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Summary

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mock tests for examination

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Important questions

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practice quizzes

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NCERT book Class 10 English - A Triumph of Surgery

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