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Do you treat your indoor cat for heartworm and fleas? - heartworm medicine for cats

I moved to North Carolina to Pennsylvania about a year ago. My vet recommended in North Carolina, my cat for heartworm / flea medicine, so they always have. Now that I am in Palestine, where it is colder, I am especially in winter, I wonder whether this is really necessary. I do not like too much when my cat is not really necessary. I also have a dog, so I'm not sure if it makes a difference or not.