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Is heartworm medication necessary in San Jose, Costa Rica? The elevation is about 1,200 meters (3800 ft)?

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Is heartworm medication necessary in San Jose, Costa Rica? The elevation is about 1,200 meters (3800 ft)?

Travel Tips
In the 10+ years I've been here I've never heard of anyone needing heartworm medicine.
Others
No not at all. Only if you are planning to go to the volcanoes, like Irazu or Poas. But not in the capital, it is tropical, and really not too high. The air is not thin.
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