Missing a meal or two or three will not hurt your dog. It might actually help...fasting is a natural event in nature. It is normal for a sick animal to fast so their body will focus on healing. It's why we naturally lose our appetite when we are sick. Now, there are situations when fasting is not recommended because to do so could cause the organs to shut down. If that was a risk in your dog's case, your vet would have said so.
As to your other questions--I would not begin to advise you to change what has been prescribed. If you have reason to question the vet's advice, then certainly, go for a second opinion.
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