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They are available with the crates, but a piece of closelyspaced wire closet shelving from a home supply place is cheaper. I think the plastic ones give the dog more of a safe, enclosed den feeling. Metal ones can be put in a corner or covered with something the dog can’t pull in and chew. Meds haven’t changed. I have been experiencing this for years, even when I worked full time and should have been exhausted. That was before my dx.