I change mine when it looks like it needs to be changed, or add more material if it's getting sparse. I put a dried chopped citronella leaf in the bottom of each box, also a dusting of DE and permethrin when I completely clean them out.
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she's eating and drinking, but not much improvement in her neck. She can hold it straight for a while, but it seems to take a lot of effort, and when she gets tired it just twists back around agian. I'm giving her lots of liver and egg, vitamin e and polyvisol w/out iron. I have brewers yeast and the nutridrench on order. Should be arriving Friday.