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Here's how to do what you can to avoid health problems with your leo:
Think seriously about sand
Do you know how many hits you get on Google if you search for "leopard gecko" and "impaction"? You get 22,600 - that represents a lot of people concerned about this all-too-common health problem.
If you didn't already know, sand impaction is where a leopard gecko eats sand and it gets stuck in their digestive system. This causes pain, bloating, and eventually (if the leo is unable to pass the sand and doesn't receive treatment) death.
So how do you avoid your leo developing sand impaction? Here is the formula:
If possible, avoid putting sand in your leo's habitat altogether. There are plenty of other substrates to choose from, such as slate tile or coconut husk.
If you put sand in your leo's tank, use only a fine 'play sand' (this is a screened and washed sand with a fine, rounded grain).
Don't put juvenile leopard geckos on a sand substrate - wait until they are at least 5-6 months old.