This answer can depend on the health condition in question.
Some variants are known to have incomplete penetrance, meaning not all dogs at increased risk will go on to be diagnosed with the disease, or variable expressivity, meaning that a dog's clinical signs might fall somewhere along a spectrum of disease severity.
Visiting your dog's veterinarian is the first step into determining whether your dog might be showing signs of disease or not. You can email a copy of your dog's health results to your veterinarian as soon as they're available so that they can review the information and discuss them with you at your next appointment.
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