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Seamus, i think you are a leo lover in disguise!
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I do love leopard geckos... they're so full of nutrients and inexpensive.
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Leopard Geckos can be prone to impaction and still thrive in nature. With their ability to thrive on minimal nutrition and their rate of reproduction, its not a stretch to believe the continued existence of the species is not that difficult without living a fifth of their potential lifespan
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But... at what age are leopard geckos most prone to impaction?
Responses within this thread would lead me to believe that it's far more of a problem with neonates kept on very loose particulate substrates than it is with adults. If adults are pretty impact resistant, then another cause must be cited for the length of the wild lifespan and I think Clay pegged it dead on.
We do strive to make the environment as safe as possible for our animals, we don't expose them to their natural predators, we don't force them into temperatures which may be unhealthy, we don't cause dehydration or introduce parasites deliberately and we minimize environmental dangers as well.
There are different types of risk though, there are those which have no benefit or where the likely outcome is far more negative than positive (like planting ticks because it's "natural"). Then there are those with a truly minimal risk but with a great deal of positive ramifications... I think that using sand appropriately gives many positive returns and isn't as risky as some would like to believe. Using sand inappropriately is entirely different of course.