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Hi FeebysOwner! thanks for checking Milo's results.Milo's kidney values are OK for a CKD cat, and his phosphorus is well within the IRIS guideline range. Other than dehydration, I am not sure they would be considered the cause of his behavior. But, as you know, every cat is different in terms of how they react to illnesses/diseases.
Did anything about the possibility of arthritis get discussed? That can cause behavior changes - as pain/discomfort may manifest itself through aggression and generally feeling unwell. As can high blood pressure. So, at least the latter is going to be checked out. Anemia can sometimes be common in CKD cats, was there any discussion about Milo's low RBC and hemoglobin? Sorry, if I missed that there was.
Re: the T-4 - I know that any blood work numbers can be misleading, or reap false positives/negatives, but Milo's T-4 isn't even close to being high. At 23, he doesn't even fall within the 'gray zone' which is usually when it is above 30. If he were to have registered above 30, the vet might have considered doing some additional thyroid testing, but since he didn't, I suspect that is why they didn't. So I think that continued monitoring, with all future blood tests, is probably appropriate.
re: dehydration - due to the warmer weather he might be a bit dehydrated but as it goes from hot to cold again here in the south of England, and he drinks well, it might not be the case...BUT he has been sleeping a heck of a lot more which means he's not drinking or eating when he's asleep, but don't now how much that would be significant...
we are meant to give him synoquin but have been unsuccessful, we got some syringes from the vet to try mixing it with some creamy dreamies treat, water and the meds...he had cerenia for potential osteo-artrhitis so we are testing that theory but so far no differences...
We do suspect that this might be pain/discomfort related in some way - perhaps arthritis, perhaps eyesight as it doesn't seem to be hyper/hypothiroidism at this point...
vet said he had mild anemia...what is RCB? she went through the results quickly with me as I asked and didn't seem to spend too much time on things that didn't seem to bother her...
we will keep monitoring and taking him to checks every 3 months or so...