An older cat that is losing weight is probably one of the most frustrating mysteries for a veterinarian. You are absolutely correct that weight loss is not normal and I am so happy you are continuing to pursue this. With his symptoms of a good appetite and weight loss, you may want to pursue further testing of his thyroid IF it was towards the high end of normal. Many cats can fall into a “gray zone” with their thyroid that makes diagnosis difficult. An alternate thyroid test can sometimes help; your veterinarian can help you know if this could be an option. In a cat with weight loss and normal labs and x-rays, I often think of intestinal disease. Intestinal disease, like inflammatory bowel disease, does not show up on normal labs and unfortunately can only be diagnosed with biopsies. It is certainly an option to consider endoscopy or exploratory surgery to get biopsy samples. We can also sometimes get an idea of intestinal disease through a blood test that looks at folate and cobalamin levels. Also an option is an abdominal ultrasound; sometimes we can pick things up there that were not readily apparent on an x-ray. Talk to your veterinarian about these options and she or he may also have some other options based on your cat’s specifics. Hope this helps and that you are able to get to the bottom of this.
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