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I appreciate the insights. We do have access to a UCDavis vet hospital and they share info with local vets. Hard part is seeing him age quickly. We're also glad to have tile floors- accidents are becoming much too common despite his best efforts.
One confounding problem is that he was a young rescue and got *ahem* neutered very young. So he never got full muscle development and has little extra to spare.
We did see a vet also trained in Chinese medicine. Per a prior comment, TCM views this similar to a cancer so perhaps there was a linkage. The excessive thirst is a clear sign of Cushings, as was hair loss.
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