Paws crossed today is a good day. I read on Lou’s condo that you are worried about the amount of pain meds. With acromegaly and occasional p’titis in the pixture, I wouldn’t worry about it. It’s much better to stay ahead of the pain. Neko was on bupe, a slightly larger dose than Olive, for almost two years. Her QOL with it was much better. The only down side is that over time you might need to raise the dose a bitt, though indidn’t. Think of acro as chronic pain. Unfortunately with kitties,, there aren’t a lot of meds that we can use to help.