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Our delicious Himalayan Cheese Chews are made by local farmers in the foothills of the Himalayan Mountains in Nepal using an ancient Himalayan recipe of Yak and/or Cow milk, salt and lime juice. The traditional technique removes the fat and lactose leaving just the protein. The protein-packed chews are then dried and hardened to form a delicious cheese snack for dogs.Medium: Paw-fect for medium size dogs and especially great for aggressive chewers.