Per the result you got from the vet, the SNAP fPL test was 'abnormal'. The SNAP fPL test is helpful when there's an urgent need to check whether there is any pancreatic inflammation because it can be done on the spot in clinics that offer it. However the SNAP test doesn't shine any light on the degree of inflammation present. The Spec fPL test returns a numerical result which gives an indication of the severity of pancreatic inflammation but it needs to be sent to an external lab and the results usually take a few days to come through.
He said she was eating all the time there. In fact they all were laughing over how much she was eating. He only gave her anti nausea meds the first day. He said since her phosphorus level was down she should not be nauseous.
But, Mr. Vet, cats don't read the 'should' manual!
As we say so often here, every cat is different. If a cat has had a major bout of inappetence and nausea it can take quite some time for them to start eating reliably and regularly under their own steam. With a supply of anti-nausea meds at home to be administered as needed, it helps the kitty make steady progress towards a really solid recovery. So often we see here that cats are sent home from the vet or the hospital without a supply of anti-nausea meds and often the kitty's appetite wobbles shortly afterwards, hence my earlier suggestion that you ask the vet to prescribe something for Zoey for you to give at home if needed. Granted mirtazapine is supposed to provide some anti-emetic benefit so a lot of vets seem to think it's unnecessary to prescribe dedicated anti-nausea medication alongside it but, based on my own experience plus the reports I've seen about many other cats here, mirtazapine alone tends not to provide sufficient anti-nausea support. Cerenia and ondansetron are much more effective. Indeed, we often see that a cat with poor appetite due to nausea issues tends not to need that much support from an appetite stimulant if its nausea is managed well with appropriate medications specifically designed to treat it, ondansetron and Cerenia.
If the mirtazapine doesn't help much in the next 12 hours I'd suggest contacting the vet again to request anti-nausea meds. Fingers and paws crossed that Zoey's appetite will pick up again in the meantime.
Re the AlOH, once you get the powdered version you'll be able to mix it in with a bit of wet food and it should be tasteless. Hopefully Zoey's appetite will have picked up again by then and she'll eat it without coaxing. If you keep the amount of food small enough for her to finish it as soon as it's offered you'll be sure she got all the AlOH down. (You can always give her the rest of her meal after she has finished the small 'medicated' portion.) Split the daily AlOH dose across several of these little wet food 'snacks' throughout the course of the day. If Zoey's still iffy with the wet food, perhaps she might eat the little bit of food containing the AlOH from your hand?
Mogs
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How is she today?
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