Yes it has been hot, but Rose is always inside with air conditioning. I think the exhaustion is related to the constipation. Discussed it with the vet yesterday and will increase Cisipride because although things are moving, she has been straining. Also just started Adequan but it needs more time to work.
You are right - increase is overdue. I've been putting it off. I'm a wimp, especially when she isn't feeling well. I increased to 4.75U today.