Changing foods - Appetite issues?

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So, I’m trying to change my cat to a different wet food and its proving to be very difficult as she’s being very picky, at least that's what it appears. She also seems to have a bit of an appetite issue in general, not eating very much or very fast. She has been eating the Hills AD Urgent Care food the last few weeks. I’ll explain why with a quick back story. Its probably going to be a long read but I appreciate the help.


When she was first diagnosed with diabetes back on 12/11/22, the previous week she had diarrhea which was the first time in pretty much forever that she had that. Coincidentally or not, when I took her to the vet for the diarrhea, they diagnosed her with the diabetes. She was on metronidazole for 10 days and the diarrhea cleared up. A few days later, she started having on again, off again diarrhea for the next couple weeks and started another round of metronidazole. She also had some occasional vomiting but it was only while straining to poop. One morning, she had diarrhea and vomited. She then lost all appetite. I took her to the vet and they gave her a nausea med and appetite stimulant. The appetite and diarrhea issues lasted about 5 more days, she was eating very little and lethargic, we darn near put her down as nothing was working and she was completely miserable. We then gave it one last chance and got her another nausea injection as she's difficult to give a pill. A day later, she started to eat much better. Coincidently or not, she also had her first hypo the same day. But over those 5 or 6 days of barely eating, she would only eat the Hills AD food. Now I cant seem to get her off of that food the last few weeks.

The vet wanted her to be on a food for digestive issues, although there isn't any facts at this point that points to her really having any digestive issues like IBD per her blood tests. She had been on the Hills KD food for her CKD and I'm convinced this food may have been causing the stomach issues as she hasn't ate that food for almost a month now and no diarrhea. Initially they prescribed me the Royal Canin Select Protein wet and dry food, she said trying a novel type protein may help. Of course I really only tried the wet but it didn't take. I tried another flavor and same result, she keeps going back to the Hills AD. The vet then recommended to try a diabetic food if she didn't like the hydrolyzed type protein foods. So we tried the Purina DM and she didn't like that either. It got to the point where the vet (and myself) just said try ANYTHING, regardless of the nutritional facts. she didn't care what it was and didn't need to be diabetic, CKD, or digestive specific or prescription. The vet just wanted her off the AD food as its not a great option long term. Obviously I still wanted to go low carbs and lower phos and maybe easy on her tummy, if possible. So I tired a couple other foods and settled on the Koha brand wet food as its low in carbs and not terribly high in phos. The vet also prescribed Elura appetite stimulant to help with her meals. I used it the last 7-8 days to try and get her transitioned onto the Koha food. The first few days were great, she ate like a pig and seemed to like the new food. Then the last few days, she's seemed to not like the new food very much and not eating as much. Its like she started to get a tolerance to the appetite stimulant and it wasn't working very well. Now it seems we've taken a few steps back and might need to find another food as she doesn't seem to like it much anymore and want the AD food. I'm still trying the Koha but thinking I'll need to go to petsmart and throw a dart at a couple other foods and see what sticks. I've also stopped the appetite stimulant the last couple days since it wasn't doing anything anyways.

The main issue I've had with her the last several weeks is she just doesn't seem to eat very much in a short time. I mentioned appetite issues but that may be subjective. She wants to eat, acts hungry and is ready when its feeding time. But when she goes to eat, she'll only eat for a minute, then walks away. I have to grab her and put her in front of her food several times to get her to eat, but she'll always just eat for a minute then walk away. Its like something shuts off in her brain. On average she'll only eat about 1/2 her meal in 30 minutes or so. By then, I'm ready to give her shot and have to figure out what dose to give her. The vet told me this; little to no food - no shot. 1/2 meal - 1/2 dose. most or full meal - full dose. I've still tested before each shot and use both methods to choose a dose, and more times than not I error on going with the full dose. The only time I'm more cautious is in the morning when I know I'm not home all day. I know the routine should be test/feed/shoot and should stick with feeding twice a day only but its hard when she doesn't want to eat very much very quickly. The difficult part is I cant tell if she's just a slow eater or if she doesn't like the food or if it is an appetite issue or nausea?? Its so hard to tell. I've given the nausea meds and it really doesn't seem to make a huge difference. The appetite stimulant, for the first few days, made her scarf her food in like 15 minutes, but what does that mean, probably nothing. Oddly enough, most of the time she will eat almost all her meal (90-100 calories) with in a couple hours if I leave the food out that long. So maybe she is just a slow eater? But I really need/want her to eat all of it within the 20-30 minutes before her shot but maybe that's to much to ask of her? Like I said, she always acts hungry and I figure if she is, she would just eat the whole meal. I just wish I could tell if it was the food or if its something else. It's worth noting with the slow eating part, it doesn't matter if its the new food or the AD food, its the same result. My gut tells me its a combination of being picky and slow eating. But maybe there is something clinically that prevents her from scarfing her meal (except under the influence of a stimulant). But overall, she only eats about 60-80 calories per meal (occasionally less) when it should be 90-100. So her appetite is not terrible but its the constant baby sitting and sometimes taking over an hour or more to eat this much thats the issue. I know Shouldn't be leaving the food out this long and need her to eat faster. Worth noting that the vet said there wasn't anything in her blood work that should be causing this, like pancreatitis, and they did every test possible I think.

What about B12? The vet said her B12 was good a few weeks ago but could it be worth trying to get an injection?

Sorry for the long read but any help or advice on food choices or her eating habits would be really appreciated. This is getting very frustrating, especially she seems to be getting betting in every other way. Thanks
 
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My cat Bobo has CKD stage 2 and when he stopped eating suddenly I took him to the vet and after a b12 shot he was fine again. I’ve been keeping him on b12 shots every 2 weeks. There’s also a chewable b12 daily supplement you can get but it doesn’t get absorbed as well sometimes. When the vet said her b12 was good, did they do the specific b12 blood test then? The one she needs to be on an empty stomach for?

adding that IBD is not ruled out with a blood test. You need an ultra sound and biopsy. Can you tell us what insulin she’s on? I’ll let others chime in but your vet’s dosing advice seems very old fashioned to me. If she’s eating even slowly, a full dose should be okay. Is she on Vetsulin or a gentler longer acting insulin like Lantus and prozync?
 
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My cat Bobo has CKD stage 2 and when he stopped eating suddenly I took him to the vet and after a b12 shot he was fine again. I’ve been keeping him on b12 shots every 2 weeks. There’s also a chewable b12 daily supplement you can get but it doesn’t get absorbed as well sometimes. When the vet said her b12 was good, did they do the specific b12 blood test then? The one she needs to be on an empty stomach for?

adding that IBD is not ruled out with a blood test. You need an ultra sound and biopsy. Can you tell us what insulin she’s on? I’ll let others chime in but your vet’s dosing advice seems very old fashioned to me. If she’s eating even slowly, a full dose should be okay. Is she on Vetsulin or a gentler longer acting insulin like Lantus and prozync?
Ultrasound was also done. She’s on prozinc.
Am I crazy to think she should eat a full meal in 30 minutes or less, And because she won’t, there’s something wrong?
 
Minnie used to inhale her food. Bobo eats at a much slower pace. I’m not fostering a cat who probably eats like yours so def a grazer. She walks back and forth away from the bowl, plays then goes back eats a bit, walks away again, plays some more, eats. I’d say it takes her about 30 minutes to eat 1/2 a can of FF. If your cat is on prozync, which takes about 2 hours to start to work, and you know she’s going to eat it all, I don’t see the need to lower the dose but tagging a few more experience members here @Bron and Sheba (GA) @Suzanne & Darcy @FrostD @Sienne and Gabby (GA)
 
@David - coco , eating issues are DEFINITELY a thing around here. Just from my experience, it can be the cats physical health, stress or things i dont understand. Definitely look around the forum, there are LOTS of stories and nuggets of advice.

For a while, cerenia ( anti nausea med) worked well for my lando. Many members use ondesteron.
Look up nausea symptoms in cats, it sounds like coco may have a few of those.

Using “toppers” also had some success. Freeze dried chicken or churu treats.

good luck i KNOW how frustrating it is when your cat wont eat. Sending well wishes
 
Minnie used to inhale her food. Bobo eats at a much slower pace. I’m not fostering a cat who probably eats like yours so def a grazer. She walks back and forth away from the bowl, plays then goes back eats a bit, walks away again, plays some more, eats. I’d say it takes her about 30 minutes to eat 1/2 a can of FF. If your cat is on prozync, which takes about 2 hours to start to work, and you know she’s going to eat it all, I don’t see the need to lower the dose but tagging a few more experience members here @Bron and Sheba (GA) @Suzanne & Darcy @FrostD @Sienne and Gabby (GA)

I just wish she would gobble up a whole meal in 30-40 minutes so I wouldn't need to baby sit her or worry about the insulin shot dose. I don't have the time in the morning to wait and see and I have to work all day so I want to make sure she eats and is safe when I'm away. It seems to be important for diabetics to eat two meals a day and not have food left out to graze. If I was retired or something and home all day, I may just do smaller meals throughout the day but don't have that luxury.

@David - coco , eating issues are DEFINITELY a thing around here. Just from my experience, it can be the cats physical health, stress or things i dont understand. Definitely look around the forum, there are LOTS of stories and nuggets of advice.

For a while, cerenia ( anti nausea med) worked well for my lando. Many members use ondesteron.
Look up nausea symptoms in cats, it sounds like coco may have a few of those.

Using “toppers” also had some success. Freeze dried chicken or churu treats.

good luck i KNOW how frustrating it is when your cat wont eat. Sending well wishes

The only real symptom of nausea is the appetite and the licking food for a few seconds and walking away. But in the end, I cant tell of its an appetite issue or the food (being picky). I gave her a dose of cerenia on Sunday and today just to see if anything changed. Last night and this morning wasn't to bad as far as appetite. Still only ate a little at a time. She did eventually eat all her food within a couple hours. This makes me think she does like the food a little? Or she was finally hungry enough and didn't care and just ate it.

Then tonight, we took a couple steps back. She pretty much refused to eat but just a few licks at a time. I picked her up and kept bringing her back to her food several times but would only get a couple licks at a time, with either the new food and the Hills AD food. Its a little odd for her to not eat at least a decent amount of the AD food so that's new. The cerenia definitely didn't work so thinking it may not be nausea? Interestingly though, I did end up giving her a tablespoon of dry food and she ate that up quick, not sure what that means. I also gave about a tablespoon of some 9 lives wet food I had (bought a bunch of different foods a month or so back when she was sick) and she ate a good amount of that. Maybe this means its the food and she's just being picky? Who knows at this point.

I don't want to give up on the Koha brand food but I'm thinking of trying a different food. I may try a Blue Buffalo or maybe go back to the Instinct wet she had ate before the diet change to the KD food. But I think they're all high in phos but I don't think I can be to picky at this point, she needs to eat! I tried to go a more healthy route but that seems to have failed, so I may need to find a basic, off the shelf, type food. Then worry about the kidneys later.

I haven't given the appetite stimulant for a couple days now. That worked very well the first few days but then started to lesson in effectiveness next few days. I may try that again soon to see. But not sure I'll give more of the cerenia as it hasn't really worked, maybe even made it worse.

Tomorrow I'm getting her a B12 shot to see if that makes any difference at all. She seems normal and healthy otherwise. The only thing is some occasional congestion but that's been going on for a couple years. But maybe I'll see about getting her a antibiotic shot incase there's a lingering upper respiratory issue. I'm not sure what else to try at this point.
 
I don’t have advice for what sounds like a really hard and scary situation. Pumpkin went through something similar where she was vomiting a lot and stopped eating or drinking completely. I had to syringe feed her and eventually take her to the ER multiple times when her appetite didn’t reboot on its own.

A few things from my experience: First; the antiemetic actually made things worse for her. Taking her off that was the first step to recovery. Reading through the drug facts, it caused more vomiting in a small percentage of cats. Coco might not be one such cat, but Pumpkin was. I noticed whenever I gave it to her she got chills and then started vomiting. Again, probably not your cat but if your spidey sense is tingling about any of her drugs check the known side effects.

The second thing was that she had a full IBD workup and it came back negative. Ultrasound, biopsies, every blood test they could think of. It all pointed at a healthy kitty.

The thing that finally worked for us was putting her on steroids (the episode started with her coming off steroids) in combination with an appetite stimulant. That got us to vomiting every other day and a like 60% appetite. Then we switched to a hydrolyzed protein diet and overnight she stopped vomiting and had her full appetite. She’d always vomited like once every 1-4 weeks for ten years. Suddenly, no more vomiting ever except the occasional hairball.

All those last things are terrible for a diabetic kitty and might not work for you. The HP food is not very tasty at all. But, it’s just one experience that these kinds of symptoms can be diet/allergy related even if there’s no IBD signs.

One last thing is that low carbs is very important, but even Dr. Lisa says if there’s other diet issues at play you gotta weigh them against low carbs.

Okay, I do have a few suggestions:
- Novel protein is a good idea. It’s also important to limit ingredients as much as possible. You want to cut everything out, see if the vomiting stops, and then build back slowly until you find what triggers it. Hydrolyzed Protein is great for that (terrible for carbs), but if Coco won’t go for it you have to try something else. I just did a taste test of Instinct Limited Ingredient Rabbit (even fewer ingredients than their grain-free line) against the HP food and Pumpkin went for the rabbit even though it was farther away. If Coco hasn’t tried Turkey before you might want to start there instead of rabbit.
- The other thing is to try mixing the AD with whatever foods you’re trying. Maybe there’s a proportion that will get Coco used to the new one and then after a bit you can yank the AD?
 
I don’t have advice for what sounds like a really hard and scary situation. Pumpkin went through something similar where she was vomiting a lot and stopped eating or drinking completely. I had to syringe feed her and eventually take her to the ER multiple times when her appetite didn’t reboot on its own.

A few things from my experience: First; the antiemetic actually made things worse for her. Taking her off that was the first step to recovery. Reading through the drug facts, it caused more vomiting in a small percentage of cats. Coco might not be one such cat, but Pumpkin was. I noticed whenever I gave it to her she got chills and then started vomiting. Again, probably not your cat but if your spidey sense is tingling about any of her drugs check the known side effects.

The second thing was that she had a full IBD workup and it came back negative. Ultrasound, biopsies, every blood test they could think of. It all pointed at a healthy kitty.

The thing that finally worked for us was putting her on steroids (the episode started with her coming off steroids) in combination with an appetite stimulant. That got us to vomiting every other day and a like 60% appetite. Then we switched to a hydrolyzed protein diet and overnight she stopped vomiting and had her full appetite. She’d always vomited like once every 1-4 weeks for ten years. Suddenly, no more vomiting ever except the occasional hairball.

All those last things are terrible for a diabetic kitty and might not work for you. The HP food is not very tasty at all. But, it’s just one experience that these kinds of symptoms can be diet/allergy related even if there’s no IBD signs.

One last thing is that low carbs is very important, but even Dr. Lisa says if there’s other diet issues at play you gotta weigh them against low carbs.

Okay, I do have a few suggestions:
- Novel protein is a good idea. It’s also important to limit ingredients as much as possible. You want to cut everything out, see if the vomiting stops, and then build back slowly until you find what triggers it. Hydrolyzed Protein is great for that (terrible for carbs), but if Coco won’t go for it you have to try something else. I just did a taste test of Instinct Limited Ingredient Rabbit (even fewer ingredients than their grain-free line) against the HP food and Pumpkin went for the rabbit even though it was farther away. If Coco hasn’t tried Turkey before you might want to start there instead of rabbit.
- The other thing is to try mixing the AD with whatever foods you’re trying. Maybe there’s a proportion that will get Coco used to the new one and then after a bit you can yank the AD?

Thanks for the advice. Fortunately she hasn't had any digestive issues for almost a month now, no diarrhea or vomiting. I'm convinced that the Hills KD food was causing the stomach issues but who knows. She may very well have an underlying digestive issue.

She has acted a bit different the last couple days on the Cerenia vs the previous couple weeks. She hadn't had a dose of Cerenia since about the 11th of January. i had mentioned previously about a weird twitch she would have while resting. She hasn't done it that much the last couple weeks but she started doing it more the last couple days, coincidence? Maybe, maybe not. But she ate less tonight so it obviously isn't helping.

The appetite stimulant Elura was given to me. The first 3-4 days she was on it, she ate like a pig, both new food and old food. Then the next few days, she started to eat less, like she was getting a tolerance to it to the point where it stopped having an effect on her.

We tried the hydrolyzed food. The vet prescribed the Royal Canin Selected protein but she didn't like that at all. Now I'm trying the Koha Limited Ingredient diet. I started her on this while giving the appetite stimulant and she liked it but maybe that was a mistake. She doesn't hate it but doesn't love it. I may try the instinct limited diet, that's actually what she ate before (mixed with some of their regular wet) for a few years, so maybe she'll take to that.

She seemed to not like it when I mixed the food so I've given it slowly but separately. I may try to go back to mixing it again and see. I agree that I just need her to eat basically ANYTHING consistently at this point.

The main issue at this point isn't the digestive issue. Its getting her to eat something consistently. I just don't know what's causing her disinterest in her food at times. But the fact she goes back at a later time and eats just makes it more confusing. Tonight for instance as I mentioned above, I did end up giving her a tablespoon of dry food and she ate that up quick. I also gave about a tablespoon of some 9 lives wet food I had and she ate a good amount of that. But seemed disinterested in the new food (Koha) and even the AD food. The disinterest in the AD food was the most alarming. Maybe she's getting sick of that, which I would be ok with that to be honest. We'll see how tomorrow goes with the B12 shot. May try the appetite stimulant again since it's been a few days. Thanks again
 
Thanks for the advice. Fortunately she hasn't had any digestive issues for almost a month now, no diarrhea or vomiting. I'm convinced that the Hills KD food was causing the stomach issues but who knows. She may very well have an underlying digestive issue.

She has acted a bit different the last couple days on the Cerenia vs the previous couple weeks. She hadn't had a dose of Cerenia since about the 11th of January. i had mentioned previously about a weird twitch she would have while resting. She hasn't done it that much the last couple weeks but she started doing it more the last couple days, coincidence? Maybe, maybe not. But she ate less tonight so it obviously isn't helping.

The appetite stimulant Elura was given to me. The first 3-4 days she was on it, she ate like a pig, both new food and old food. Then the next few days, she started to eat less, like she was getting a tolerance to it to the point where it stopped having an effect on her.

We tried the hydrolyzed food. The vet prescribed the Royal Canin Selected protein but she didn't like that at all. Now I'm trying the Koha Limited Ingredient diet. I started her on this while giving the appetite stimulant and she liked it but maybe that was a mistake. She doesn't hate it but doesn't love it. I may try the instinct limited diet, that's actually what she ate before (mixed with some of their regular wet) for a few years, so maybe she'll take to that.

She seemed to not like it when I mixed the food so I've given it slowly but separately. I may try to go back to mixing it again and see. I agree that I just need her to eat basically ANYTHING consistently at this point.

The main issue at this point isn't the digestive issue. Its getting her to eat something consistently. I just don't know what's causing her disinterest in her food at times. But the fact she goes back at a later time and eats just makes it more confusing. Tonight for instance as I mentioned above, I did end up giving her a tablespoon of dry food and she ate that up quick. I also gave about a tablespoon of some 9 lives wet food I had and she ate a good amount of that. But seemed disinterested in the new food (Koha) and even the AD food. The disinterest in the AD food was the most alarming. Maybe she's getting sick of that, which I would be ok with that to be honest. We'll see how tomorrow goes with the B12 shot. May try the appetite stimulant again since it's been a few days. Thanks again
I don't know much about Coco & what's going on, but maybe ask for a different appetite stimulant. I use miritaz on both of my boys ears as an appetite stimulant. They don't always give me trouble eating, but when they do I put a tiny bit of miritaz on there ears & 9 times out of 10 it works. Good luck with your baby girl, I hope you get it figured out & she starts eating for you.
 
Im sorry about this scary situation @David - coco . All i can say is that i empathize. I have been on the same road with lando . When things got too unpredictable, i ended up syringe feeding him until things got back on track. ALTHOUGH that may contribute to food aversion. :banghead: Good luck and let us know how coco is doing
 
I just wish she would gobble up a whole meal in 30-40 minutes so I wouldn't need to baby sit her or worry about the insulin shot dose. I don't have the time in the morning to wait and see and I have to work all day so I want to make sure she eats and is safe when I'm away. It seems to be important for diabetics to eat two meals a day and not have food left out to graze. If I was retired or something and home all day, I may just do smaller meals throughout the day but don't have that luxury.



The only real symptom of nausea is the appetite and the licking food for a few seconds and walking away. But in the end, I cant tell of its an appetite issue or the food (being picky). I gave her a dose of cerenia on Sunday and today just to see if anything changed. Last night and this morning wasn't to bad as far as appetite. Still only ate a little at a time. She did eventually eat all her food within a couple hours. This makes me think she does like the food a little? Or she was finally hungry enough and didn't care and just ate it.

Then tonight, we took a couple steps back. She pretty much refused to eat but just a few licks at a time. I picked her up and kept bringing her back to her food several times but would only get a couple licks at a time, with either the new food and the Hills AD food. Its a little odd for her to not eat at least a decent amount of the AD food so that's new. The cerenia definitely didn't work so thinking it may not be nausea? Interestingly though, I did end up giving her a tablespoon of dry food and she ate that up quick, not sure what that means. I also gave about a tablespoon of some 9 lives wet food I had (bought a bunch of different foods a month or so back when she was sick) and she ate a good amount of that. Maybe this means its the food and she's just being picky? Who knows at this point.

I don't want to give up on the Koha brand food but I'm thinking of trying a different food. I may try a Blue Buffalo or maybe go back to the Instinct wet she had ate before the diet change to the KD food. But I think they're all high in phos but I don't think I can be to picky at this point, she needs to eat! I tried to go a more healthy route but that seems to have failed, so I may need to find a basic, off the shelf, type food. Then worry about the kidneys later.

I haven't given the appetite stimulant for a couple days now. That worked very well the first few days but then started to lesson in effectiveness next few days. I may try that again soon to see. But not sure I'll give more of the cerenia as it hasn't really worked, maybe even made it worse.

Tomorrow I'm getting her a B12 shot to see if that makes any difference at all. She seems normal and healthy otherwise. The only thing is some occasional congestion but that's been going on for a couple years. But maybe I'll see about getting her an antibiotic shot incase there's a lingering upper respiratory issue. I'm not sure what else to try at this point.
That’s actually incorrect and old fashioned advice, if that’s what your vet told you. It works for dogs but cats have a much higher metabolism. Cats are grazers and do much better on smaller meals throughout the day. Most of us here feed the 2 largest meals around shot times and then smaller meals or treats throughout the day. It’s also easier on their already compromised pancreas. I’d suggest you look into getting a timed feeder for her for when you’re away at work.

In addition to Cerenia, you can ask your vet for ondansetron which works differently. Cerenia didn’t do much for Minnie but ondansetron was a game changer.
 
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I agree with Ale -- it's fine if Coco grazes. Some cats eat everything you put in front of them in one sitting and other cats graze. The only time when it's important to have a cat have a good quantity of food on board is if you're using a shorter acting insulin like Vetsulin or Novolin. When you're home in the evening and have time, see if your cat keeps returning to her bowl and the food is finished within several hours. Trying to force her to eat on your schedule may be compounding the problem.

I'm not a big fan of using prescription medication if there's no condition that warrants the drug. If Coco is nauseated, then either ondansatron (Zofran -- it's a human drug) or Cerenia would be appropriate. I'm not familiar with Elura -- it seems to be a newer appetite stimulant. Most of the time, we see mirtazapine or cyproheptadine prescribed for inappetence.
 
In addition to what's been said -

(Taken straight from @Suzanne & Darcy )

Signs of nausea include:
1. Sniffing food and walking away
2. Sniffing at food and licking lips and then not eating / walking away
3. Licking the surface of the food (like licking gravy off the top) and walking away
4. Teeth grinding/chattering sounds.

So if she isn't showing any of those, I wouldn't worry. My cat is also a grazer. He'll eat maybe 1-2 tbsp when I put the food down, after that he just grazes all day. When he was on insulin, he tended to eat a little more earlier in the cycle as the insulin started to kick in and drop BG.

Some cats are just darn picky about food, I've been fortunate to have garbage disposals for cats.

Midcycle tests will help you zero in on knowing what dose to give. Take notes in the Remarks column as best you can about her appetite and behavior.

What tests did they do exactly? Can you share the lab work?
 
I don't know much about Coco & what's going on, but maybe ask for a different appetite stimulant. I use miritaz on both of my boys ears as an appetite stimulant. They don't always give me trouble eating, but when they do I put a tiny bit of miritaz on there ears & 9 times out of 10 it works. Good luck with your baby girl, I hope you get it figured out & she starts eating for you.
Im sorry about this scary situation @David - coco . All i can say is that i empathize. I have been on the same road with lando . When things got too unpredictable, i ended up syringe feeding him until things got back on track. ALTHOUGH that may contribute to food aversion. :banghead: Good luck and let us know how coco is doing
That’s actually incorrect and old fashioned advice, if that’s what your vet told you. It works for dogs but cats have a much higher metabolism. Cats are grazers and do much better on smaller meals throughout the day. Most of us here feed the 2 largest meals around shot times and then smaller meals or treats throughout the day. It’s also easier on their already compromised pancreas. I’d suggest you look into getting a timed feeder for her for when you’re away at work.

In addition to Cerenia, you can ask your vet for ondansetron which works differently. Cerenia didn’t do much for Minnie but ondansetron was a game changer.

So you’re talking about a timed feeder for dry food?

I agree with Ale -- it's fine if Coco grazes. Some cats eat everything you put in front of them in one sitting and other cats graze. The only time when it's important to have a cat have a good quantity of food on board is if you're using a shorter acting insulin like Vetsulin or Novolin. When you're home in the evening and have time, see if your cat keeps returning to her bowl and the food is finished within several hours. Trying to force her to eat on your schedule may be compounding the problem.

I'm not a big fan of using prescription medication if there's no condition that warrants the drug. If Coco is nauseated, then either ondansatron (Zofran -- it's a human drug) or Cerenia would be appropriate. I'm not familiar with Elura -- it seems to be a newer appetite stimulant. Most of the time, we see mirtazapine or cyproheptadine prescribed for inappetence.

Same here, I hate having to medicate her (or myself) when it may not be necessary. Especially when those meds have conflicting side effects.

In addition to what's been said -

(Taken straight from @Suzanne & Darcy )

Signs of nausea include:
1. Sniffing food and walking away
2. Sniffing at food and licking lips and then not eating / walking away
3. Licking the surface of the food (like licking gravy off the top) and walking away
4. Teeth grinding/chattering sounds.

So if she isn't showing any of those, I wouldn't worry. My cat is also a grazer. He'll eat maybe 1-2 tbsp when I put the food down, after that he just grazes all day. When he was on insulin, he tended to eat a little more earlier in the cycle as the insulin started to kick in and drop BG.

Some cats are just darn picky about food, I've been fortunate to have garbage disposals for cats.

Midcycle tests will help you zero in on knowing what dose to give. Take notes in the Remarks column as best you can about her appetite and behavior.

What tests did they do exactly? Can you share the lab work?

The only symptom (recently) she shows is the licking for a minute and walking away. She will sometimes sniff and walk away or sniffs, licks the top a little then walks away, but this is usually after putting her in front of her food several times and she's likely frustrated with me. And because she'll go crazy for dry food, I'm thinking its not nausea and she's just a slow picky eater.

As far as an update on her appetite. The last week or so since I've posted this, she's been doing a little better I suppose. She still only eats about half her food the initial 20-30 minutes before shot but I've still given the full 1U dose every time. She has pretty consistently ate the rest of her food within the next couple hours. So she very well just might be a slow eater.

Admittedly, the last week or so, I've supplemented her meals with between 1/2 - 1 tbsp of dry food to try and get some calories in her. That way, she didn't need to so much wet food to get the same amount of calories in but to also do it as a test. She goes nuts for the dry food, this has to mean her issue isn't an appetite problem, right?? I'd think if she was nauseated or had a lack of appetite, she would refuse even the dry food but she scarfs it. So she's likely just a slow eater and probably a picky eater, at least that's what it would seem??

With that, what's the harm in supplementing some dry food in her meals with a good quality dry food with as low of carbs as possible? I'm talking about 1 tbsp or so a meal just to help get some calories in. For some foods, that would be 20-30 calories. I've researched a couple brands like Orijen and one of the wellness brands had about 17-20 carbs (dry matter). I also think the Dr. Elsey and Tiki Born Carnivore are also fairly low carb. I guess my thought/hope would be to find a wet food she likes and will eat consistently and supplement it with a little dry for calories so she doesn't need to eat so much wet food since she takes so long to eat. But I don't want her to refuse the wet knowing she'll get dry food as well. Just try to think of ways to make it easy on everyone and get calories in sooner than later. Unfortunately I dont have the luxury to be home and feed small meals throughout the day.

Thanks for the help and advice!
 
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So your talking about a timed feeder for dry food? Isn't dry food highly disapproved on here?

You can get wet food dispensers, such as the CatMate C500. I’ve been using it for a few weeks and very happy so far. Only worry is that it doesn’t tell you when its batteries are getting low, so I have a reminder for myself to replace them in six months. The upside of using batteries is that a power outage will never cause an issue.
 
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