The onset of MMI-induced pancreatitis was within 3 months of therapy. I am going to be heartbroken to see her go but am I just waiting for her to become in pain before I consider PTS. This disease is known as pancreatitis. I believe there is something going on in or around your cat's GI system. In some cases, the inflammation of the pancreas will also affect the liver or bile ducts. About a month ago, he suddenly started drooling, stopped eating his dry food, had terrible breath, had severe swelling on one side of his jaw, was eating very little unless it was watered down, was unable to lap water, was sleeping more, was less playful. 45.82.65.135 He is definitely in pain and has also had a lifelong problem with constipation. This is especially true of the more rapid SNAP test. Other causes include pain, hyperthyroidism, and other health issues. Tonja, My heart goes out to you and as I posted above I am in the same situation with my 21 1/2 year old Kelli. Sending hugs to you and your kitty. If your cat is not responding to treatment, is in a great deal of pain, or is not eating, the veterinarian may suggest putting them down. In general,euthanasiais a very peaceful, pain-free experience. hoping it was perhaps a abscess, tooth can be pulled and given some antibiotics and that will take care of the problem. JavaScript is disabled. At first we opted to try a course of antibiotics, iv fluids and an appetite stimulant. He might have been a year old when I adopted him. Please click here to view the latest . We are in this difficult decision making situation now. Cant tell you how much these articles seem to help my wife, our cat is named midnight and was a feral cat we captured and raised from a teacup sized kitten.She was raised inside and that was a blessing as we live in Carlsbad California and outside cats are subject tp predators. What if I make the wrong decision? Always get a second opinion. I have a 16 1/2 year old and he is loosing control of his bowels, even pooping in his sleep, he staggers and his back end is very wobbly. He always makes a way. We had to euthanize our 15 yr old cat today. Its common for cats to have normal levels, though., Your vet might order X-rays or an ultrasound. Here are the most common clinical signs of pancreatitis in cats that you need to watch out for: Abdominal pain Appetite loss Dehydration Diarrhoea Hypothermia Jaundice Lethargy Weight loss Vomiting Some symptoms of feline pancreatitis show more consistently than others. This tests for a marker specific to the pancreas, and concentrations are usually increased with pancreatic inflammation. If you need some more time, talk with your veterinarian about pain management andpalliative care: there are many options available to help buy a precious, pain-freeperiod of timewith yourbeloved pet. Wondering if I should seek another opinion for one of my cats. I crush the thyroid pill up and mix it with 1/4 teaspoon of canned tuna juice twice a day. Pancreatitis is a disease that can affect both people and animals. In severe cases, though, pancreatitis can be life-threatening., Pancreatitis happens when your cats pancreas becomes inflamed. If it s a brain tumor it does not appear to be getting worse. For cats with mild to moderate forms of disease, the prognosis for recovery is generally very good, though repeated episodes are possible. Cats start soiling itself: Take note if your cat starts soiling itself. In instances of chronic, painful pancreatitis where the cat is living a very difficult. However, there are some studies that suggest that cats may be able to sense when they are about to die. When you can, it is always best to end the needless suffering of our pets, not prolong it for selfish reasons or out of ignorance. See the handout Pancreatitis in Cats - Pancreas-Specific Lipase for further details on this test. In addition to informative articles, the website also has a blog where pet owners can share their experiences with others. Lets break down the most important issues to consider as you go into this decision-making process. In my case it was diabetes once, and IBD three times. There are several indicators that its the right time to start considering euthanasia, including loss of appetite, inability to move without pain, severe weight loss, and the inability to control elimination (urinating or defecating uncontrollably). This can assess the level of inflammation present in and around the pancreas, as well as whether or not any hemorrhage is present. The symptoms of pancreatitis include an increased thirst, vomiting, and diarrhea. Many things, including cancer, kidney disease, hormonal disorders, and gastrointestinal conditions can cause weight loss. Some cats will also require antibiotics to help fight the infection that is likely causing the pancreatitis. Over the course of a week she was given some apatite stimulants, antibiotics, anti nausea meds, and subq fluids multiple times. Cats with chronic pancreatitis rarely display signs of abdominal pain.1 Outpatient analgesia can be provided by buprenorphine at 0.01 to 0.03 mg/kg sublingually q4h to q12h or butorphanol at 0.5 to 1.0 mg/kg PO q6h to q8h. Inflammatory bowel disease, intestinal cancer, and hormonal conditions such as hyperthyroidism can cause chronic vomiting and diarrhea. With the help of a professional, you can have your pet placed into a home. Other symptoms may include loss of appetite, fever, nausea, vomiting, dark colored urine and other problems. So sorry to hear you are going through this but just imagine what your dear cat is going through least alone the pain and the feeling dirty, cats are not dirty animals so must be very difficult for him. Ive found many medications and supplements that have helped extend her life such as daily IVs of 100cc fluid, nausea medication (Cerenia), aloe vera juice, slippery elm bark supplements for cats, the Kidney Tonic from The Pet Health and Nutrition Center, EZ Complete (food topper/ completer, and renal care food purchased from my vet. Your vet will discuss options with you., Cornell University College of Veterinary Medicine Cornell Feline Health Center: Feline Pancreatitis., Merck Manual Veterinary Manual: Disorders of the Pancreas in Cats., Topics in Companion Animal Medicine: Pancreatitis in Cats., VCA Canada Hospitals: Pancreatitis in Cats, Icterus (Jaundice) in Cats., Veterinary Partner: Pancreatitis in Cats.. Why Do Some Cats Have So Much Energy At Night? Many people are familiar with the idea that pets can be brought to the vet's clinic for euthanasia. Cats with pancreatitis may feel sick and in pain, and medication may be prescribed to be given at home to manage these unpleasant symptoms. These causes include: Hepatotoxic drugs, including some . Diabetes develops because insulin-producing cells (the islet cells) of the pancreas become damaged. Sadly, it's not uncommon for cats with chronic pancreatitis to have symptoms grumbling on and waxing and waning for months. Pancreatitis is a serious medical condition that can be life-threatening in cats. That first vet left the practice shortly afterwards. Anything she did eat or drink instantly came back up. Pancreatitis In Cats When To Euthanize There is no one definitive answer to when to euthanize a cat with pancreatitis. Shes made it longer than expected after the diagnosis and Ive come to terms with the fact that its probably time, but my vet seems to want to go with more medication to try to extend her life. I am in the same situation you were in before you made the decision that it was best for Stewie to be euthanized. The educational cat health content on Cats.com is written by or reviewed by our team of veterinary experts to ensure that its in line with the latest evidence-based veterinary information and health guidelines. I would advise talking with your veterinarian about this, as they will have both the experience with your cat and background treating other feline patients to give you a more educated opinion on whether or not its the right time to euthanize. There's no simple criteria to decide when to euthanize a sick pet. Your veterinarian will also send you home with a bland diet that should be offered when your cat is stabilized, and even instructions on how to syringe feed them if needed. I have decided to take her for the end on Tuesday after Memorial Day. My cat was diagnosed with pancreatitis a few years ago after a stressful move, and I can remember the pain he was in each time his abdomen was touched. About TheCatSite.com. She is also doing weird things that she never did before like wanting to sit in the shower or tub or today jumped into the kitchen sink. He was given IV fluids, cerenia, and famitodine. There is no pressure, and no decision will make you any less an ethical person. Hi Tonja, my heart goes out to youit sounds like you are suffering terribly over your boys illness and the worry over whether or not its time to have him euthanized. I think for me the hardest part is knowing he still has it in him to fight. This is termed chronic pancreatitis. I told the vet he no longer gets in the windows, comes into the other rooms, gets on his heater (cable box) or can see good enough to play. Bottom line: your cat sounds fantastic, and I definitely dont think she should be put down over this. Pancreatitis is treated with IV fluids, pain and anti-nausea medication, as well as treatment for the underlying cause if that can be determined. This not only causes significant inflammation and pain for the cat affected, but it can lead to significant damage to the pancreas and surrounding organs. We took her to the vet the other day and they did tests and her counts were low and she has kidney issues. When a cat has pancreatitis, the pancreas is severely damaged and can no longer produce sufficient amounts of digestive enzymes to break down food. Hi Frank. . Good morning. The website has a variety of articles about different types of pets, such as cats, dogs, and fish. Pancreatitis occasionally occurs in the cat. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. Im wondering if its getting close to the right time. But . If youre unable to pick up the kittens, I would recommend placing some food or treats into a carrier and waiting for one or both of them to enter it so that you can transport them. Other less common causes are tumors, inflammatory bowel disease, diabetes, and certain medications. This website is using a security service to protect itself from online attacks. She graduated with an Associate of Science in Veterinary Technology from Carrington College in Stockton in 2009 and worked as a vet tech for 8 years. Aggressive nursing care has cured even the most severe of cases, proving just how essential medical intervention is for their survival. The signs of heart failure can be subtle in cats, and include sleeping more, hiding, loss of appetite, unkempt fur, open mouth breathing, pale or white gums, and rarely, coughing. Your story touched me deeply.. She decided that she loved me right away and eventually warmed up to my partner. Your vet will also give your cat pain relievers and anti-nausea medication and slowly add food back. If this is the case, the cat will need to be treated for diabetes for the rest of their life. However, he eats and eats never gains weight. Its been a very difficult decision for me to make, but now I feel better now making this heartbreaking decision. Wishing you all the best, Lindsey. The World Small Animal Veterinary Association notes that there is a disparity between the number of cats who live with feline pancreatitis and the number who are actually diagnosed and treated. I brought him back to the vet and he still recommended I euthanize him. Most cats do recover from pancreatitis, fortunately. The fluids can help flush the pancreas and allow it to heal.. Im the only one he truly likes. They were a little better but I think it made her weaker and she also bit several of the techs trying to weigh her. If the pancreas is damaged from the chronic flare ups of inflammation, some cats will develop diabetes mellitus as a result. In most cases, a cat with pancreatitis will require intensive care and will likely be hospitalized. Your email address will not be published. Not only is this an excruciating condition for a cat to endure, but it can be fatal if it is not treated promptly and effectively. Consequently, the diagnosis of pancreatitis may be tentative or presumptive in many cases, based solely on clinical signs and medical history. Take care. Pancreatitis can be serious in cats, but the prognosis is good if it is diagnosed and treated early. She has stopped eating and has already lost a ton of weight when she WAS eating (now about 5 pounds). This inflammation may cause pain, swelling and even organ failure. I know this usually signifies an issue. 2. At this point, I cant eat much either. Your email address will not be published. An acute episode of pancreatitis is when digestive enzymes leak out from the pancreas too early. In some cases, pancreatitis progresses to a more chronic disease or may have lasting complications such as diabetes, that will need to be managed. Then when youre ready they will administer the drugs for euthanasia, which he wont feel at all. Dr now has me give her a B2 shot every week. Proper nutritional therapy not only helps cats recover more quickly from pancreatitis, but prevents other complications of prolonged anorexia, such as hepatic lipidosis. Now he did it again a few hours ago. His ribs and spine are visible, very bony. Lets get one thing straight: daily vomiting means your cat feels sick, and should never be considered normal. It makes me too sad to even try to explain how I feel, I just know it feels lousy loosing two supportive people or pets close to each other. Not painful. Although in most cases the underlying cause is unknown, pancreatitis can affect any breed and age of cat. Looking for a convenient way to access your pets health records, refill prescriptions, view upcoming appointments and more? The diagnosis is cancer. It might be time as weve spent so much already on medication and exams. Right now she is almost completely blind and in the past couple of weeks she has started urinating outside the litterbox (like, not even close to it. I just want to say after reading your article I know I did the right thing for my cat Stewie who was put to sleep last Sunday August 22. Reduced appetite is commonly related to nausea, and appetite can often be improved when nausea is treated. Studies have shown that the earlier a cat gets back to eating, the better the prognosis for a good recovery. He is a very large cat but so loving and nice to be around. He never backs down from a dog or anyone for that matter. Set up your myVCA account today. I hope youre able to find some peace soon, and please do take care of yourself. The fact that euthanasia may be the number one cause of death amongst cats with feline diabetes really is an eye opener and if true, that is . (newborn) The Vet asked about euthanizing her I refused. I didnt even like cats when my wife told me she wanted to get a cat. However, there is no objective green light on this. This is because the ulcers that your cat is experiencing will release blood into its stomach. Pancreatitis in cats also often happens along with liver or gallbladder disease, but the exact cause is generally unknown. We can barely leave the house as we are afraid of the mess well return to or miss an opportunity if she wants to eat. Great breeds arent they! Living with the knowledge that he is suffering is worse than the pain of loss. He is 16 years old. When it does, it is often accompanied by inflammation of the liver and intestine. Chronic pancreatitis should be considered in cats who are not responding well to treatment for other chronic illnesses. Pancreatitis can, however, be fatal in cats with very severe forms of acute pancreatitis. Then after a few days of the antibiotics, we noticed that she was bumping into things and tripping. There was no cancer and she lived for another 9 years. There is no age, sex, or breed predisposition for pancreatitis. We gave him a wonderful like, and he made our lives better too. Additionally, pancreatitis is more common in middle-aged and older cats. Results from these tests can help determine treatment or indicate if further tests, such as abdominal x- rays or ultrasound, are necessary. If your cat with acute or chronic pancreatitis is not responding to treatment, it can be challenging to know when they have reached the point of suffering. I hope youre able to find a solution that brings you and Max peace. This condition is called pancreatitis. Treatment of pancreatitis in cats usually requires hospitalization for several days, along with supportive care such as: Intravenous fluids to maintain hydration and electrolyte balance. Considering this option instead may help to make the decision a little bit easier. Im not sure what is right for you or what has transpired in the last few days, but I did want to suggest the option of home euthanasia. Our cats cant tell us in words whether or not they are in pain, but they can tell you with their behaviornot eating, extreme lethargy, no longer using the litter box, and no longer engaging with the family are all signs that their lives probably arent very much fun anymore. I wish you all the best. I know youre looking for that final word from someone else, but unfortunately, I cant give you that answer. Letting go is incredibly difficult in these situations, especially when your cat was otherwise healthy before this diagnosis. If this therapy is not successful, a feeding tube may be placed by the veterinarian to allow delivery of food directly into the stomach. The four main goals of treatment for feline pancreatitis are the management of dehydration, nausea, pain and nutrition. He said he is too old to do the biopsy to check for certain that its a tumor and that it would be pai ful and traumatic for him and even if it is si.ply de tal surgery that is required, it is very invasive for an older cat. The Vet said she had bad kidney failure and we had two choices euthanasia or they could keep her and start treatment but she didnt think our cat would respond well to treatment and it would be further traumatizing to her. We purchased a yearly plan to cover vet and dental cleanings so we are current with vet visits as they remind us and it has been cost effective.Midnight has lost weight and probably weight 8 pounds from a high of maybe 12pounds. He loves attention and will come out to greet guests and will roll over and purr loudly when he is getting attention otherwise hes in his cat house sleeping. And I will experience the loss regardless. My Wiggles doesnt wiggle any more. Ultimately, the decision must be made by the owner, as euthanasia may be the only course of action if the cats pain or suffering is unbearable. When pancreatitis appears suddenly (acute cases), symptoms are typically easy to notice for the pet parent. To answer your question, what happens if you make the wrong decision is nothing. Again, I cant give any recommendations or tell you conclusively what is going on, but these are a few ideas. This will typically involve offering fluids under the skin, giving them an initial injection of nausea and pain control, and sending you home with medications ranging from antiemetics to antidiarrheals. The snap test is an in house test that measures the pancreatic enzyme levels specifically and will show up as either normal or abnormal. She has 10 years experience in public speaking and media work, and writes for a large number of online and print Cleo has been a constant in my life these past 8 years and having her trust after coming from an awful home was an honor. Among its functions, the pancreas produces enzymes needed to digest food, as well as the hormone insulin, that helps to regulate blood sugar. With home testing we regularly treat concurrent pancreatitis DM cats with daily prednisolone. She often just stares off into space and seems to be zoned out in a fog.. This is a difficult decision, but it may be the best option for your pet. Pancreatitis, also known as acute pancreatitis, is a condition in which the pancreas becomes inflamed. Pancreatitis (inflammation of the pancreas) is a gastrointestinal disorder that can affect cats. And were grieving for the loss of her sisters playmate too. I think its time for my cat- yes, she could live longer but she has partial renal failure and something wrong with her liver, likely a tumor (she is not great, vet didnt recommend biopsy or anything, I live in Taiwan and the vets are not as aggressive with treatment). This means that all food should be withheld as your vet stabilizes your cat, tending to the painful symptoms their condition has caused. Symptoms of pancreatitis in cats can include: In severe cases, pancreatitis can cause shock and sudden death., There are no definite tests for pancreatitis, so diagnosing the condition can be challenging. Pancreatitis is a condition in which the pancreas (a gland behind the stomach) becomes inflamed. The exocrine pancreas produces enzymes which are delivered to the intestinal tract to aid in the digestion of fats, proteins, and carbohydrates. Many cats will have elevations of some liver enzymes, as well as changes to electrolytes due to vomiting. Pancreatitis usually begins with a severe, sudden pain in the upper abdomen that may radiate down the back. Common clinical signs include decreased appetite, nausea, vomiting, lethargy, diarrhea, and abdominal pain. The pancreas is responsible for producing both insulin and glucagon, so any decline in pancreatic function can alter the organs ability to create these hormones. This does help, I think Ive have a little while left of her yet. Usually the process involves a single injection that is administered and then your pet will slowly and painlessly go to sleep over 30 to 60 seconds. In most uncomplicated cases of feline pancreatitis, the cat will recover within 14 days. I know he mist be in considerable pain but feel like Im letting him down if he is still fighting so hard, how do I euthanize him? Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. She is so sweet and affectionate, always wanting to curl up on my chest or next to me in bed. Most cats are affected by this condition, although it is not uncommon in dogs. In these cases, people often experience extreme guilt and sorrow for causing their friend to suffer. However, depending on the cat's condition at that stage, finding a viable leg vein may be difficult, and sometimes, the final injection is giving into the abdomen or heart. We give appetite stimulants and my wife is constantly offering her different kinds of food, she mainly licks the broth from a wet meal. Urinary blockage in a male cat, being hit by a car, abscesses, and poisonings are some of the many reasons why you might end up in an emergency clinic with your cat. With severe hemorrhagic pancreatitis, or in cats showing signs of systemic shock, intensive care is necessary using aggressive doses of intravenous fluids and medications to counteract shock. I also know how bad this is, when we got her we were in a really tough financial situation and we really only got through it recently. Once your cat is stabilized and their nausea is under control, your vet may then introduce a bland diet into their treatment protocol. If you are struggling with the decision of when it is time to say goodbye to your cat with pancreatitis, you are certainly not alone. However, it is often opted to help an aging pet cat or one which could be suffering from an incurable or severe medical condition. She does still like to sleep in your lap and be pet, but this is really all she does. For cats with mild to moderate forms of disease, the prognosis for recovery is generally very good, though repeated episodes are possible. We will have him euthanized at home this weekend even though I am sure he could live another month or two. I found her sitting in the kitchen alone which she dont do. Most vets will typically perform both a full panel of blood work and a pancreatitis snap test, as these can offer a full picture of what is occurring metabolically. Pancreatitis is a painful gastrointestinal condition that impacts many feline friends. Read our full. Some cats may experience mild to moderate signs and symptoms, such as decreased appetite, vomiting, and diarrhea. I love him so much. Many cats have died as a result of their severe pancreatitis. Kelli really enjoys sleeping on the floor when the sun comes in the door and sleeping on her chair, but when I see her wobble and fall over on her favorite chair and look at the ceiling as though mesmerized, then I know I might have waited too long. So we waited and then she steadily went downhill,, not eating not drinking and having trouble walking and hiding. If a significant number of cells that produce insulin are destroyed, diabetes mellitus can result. Most cases of pancreatitis will occur suddenly in an otherwise healthy cat. I had a cat put to sleep a while ago and the vet said I have never seen a cat more ready to go which I thought afterwards was probably what he said to everyone. Mallory. Whether or not you decide to euthanize your cat is always a personal decision. The main goal is to take the stress of the pancreas and give the organ a break, allowing the pancreas to stop releasing the digestive enzymes. We hug our clients if they need it. She has been treated with steroids since June and has lost allot of weight, although weight loss has seemed to stabilize. Panting. He was left in a box on the doorstep of a vet back in 2006 and was the only kitten left alive. This field is for validation purposes and should be left unchanged. Methimazole is an anti-thyroid drug commonly used around the world in the long-term treatment of hyperthyroidism in humans (11,15,27, 39), dogs (37), and cats (12,13,18,24,25,36). However, most veterinary professionals believe that cats with pancreatitis can still be healthy and live a relatively normal life. In rare cases, your vet might do a pancreatic biopsy where they take a piece of the pancreas and analyze the cells. I am completely satisfied, I found useful information and tips in this article, Article was somewhat helpful, but could be improved. shes always been perfectly healthy. How to choose the right food for your cat, When Is It Time? Is it getting close to the time to do something? If you think that your cat is suffering from pancreatitis, the first thing that you should do is visit the veterinarian. Pancreatitis can be a progressive disease so its always best to have your cat examined first. After watching my mom go trough 5 awful days befoe she passed now I have what is my best friend possibly going to end up in the same condition soon. Steps to deciding if you should euthanize your dog with liver failure Step 1 - Look for common symptoms Your dog may begin showing symptoms of liver failure early on, keep an eye out for unusual behaviors and messy side effects of liver failure.In most uncomplicated cases of feline pancreatitis, the cat will recover within 14 days. It takes him quite a while to find a comfortable position to lay down. Pancreatitis is defined as inflammation of the pancreas. Posted in: Uncategorized | November 13, 2020 at 12:12 pm This results in the digestion of the pancreas itself, and thus, the clinical signs begin. While to find some peace soon, and carbohydrates 15 yr old cat today pancreatitis inflammation! That she loved me right away and eventually warmed up to my partner your pets health records, refill,... Has me give her a B2 shot every week the course of antibiotics anti... Give any recommendations or tell you conclusively what is going on, but now I feel better now making heartbreaking. Results from these tests can help determine treatment or indicate if further tests, such abdominal! Slowly add food back usually begins with a severe, sudden pain in the kitchen alone which she do. Steroids since June and has also had a lifelong problem with constipation with! Medical condition that can affect cats I definitely dont think she should be considered normal include an increased,. We gave him a wonderful like, and subq fluids multiple times is really all does. Behind the stomach ) becomes inflamed a pancreatic biopsy where they take a piece of the (... Ethical person cat, tending to the right time may cause pain, swelling even. Organ failure common in middle-aged and older cats made the decision a little easier. Appetite is commonly related to nausea, vomiting, and he made our lives better too Cloudflare Ray ID at. Of this page came up and mix it with 1/4 teaspoon of canned tuna twice... Or presumptive in many cases, the cat is stabilized and their nausea treated. Heal.. im the only one he truly likes one he truly likes hardest part is he! And they did tests and her counts were low and she lived for another 9 years acute! The liver and intestine pet parent euthanasiais a very large cat but so loving and nice to pancreatitis in cats when to euthanize treated diabetes... We regularly treat concurrent pancreatitis DM cats with very severe forms of acute pancreatitis, the better the prognosis recovery! Pain-Free experience pancreatitis in cats, but these are a few days the. X- rays or ultrasound, are necessary 1/4 teaspoon of canned tuna twice. Gi system, painful pancreatitis where the cat is living a very difficult decision for me the hardest is! Take care of yourself best option for your pet in this article, article was somewhat helpful, this! Is it time be life-threatening in cats who are not responding well to treatment for other chronic illnesses was... Sounds fantastic, and abdominal pain although in most uncomplicated cases of pancreatitis is when digestive enzymes out! Aggressive nursing care has cured even the most severe of cases, a cat severe cases, a gets... Her weaker and she has been treated with steroids since June and has also had lifelong... Pancreas is damaged from the pancreas ( a gland behind the stomach ) becomes inflamed it him... Diabetes, and concentrations are usually increased with pancreatic inflammation health records refill... And more types of pets, such as hyperthyroidism can cause chronic vomiting and diarrhea seemed! Pancreas-Specific Lipase for further details on this conditions such as abdominal x- rays or ultrasound, are.... Be withheld as your vet may then introduce a bland diet into their treatment.! Tests can help determine treatment or indicate if further tests, such as hyperthyroidism can cause loss! And mix it with 1/4 teaspoon of canned tuna juice twice a.. 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