I want to make sure that I make the right decision based on the best outcome whilst minimizing his stress.
I donít like the idea of the hospitalization with the I131 but with the medication option there would appear to be numerous side effects and he would still have to go through regular visits and blood tests.
My thoughts were that with the regular vet visits and blood tests, twice a day meds and me constantly hovering (why is she so hungry today, does she look like she lost weight etc.) would be way more stressful than a few days spent at the vets. It's not 3 days of constant poking and prodding, they receive an injection and then are pretty much left to hang out...just daily care and petting/play if they're interested.
However despite no clinical signs the vet says that's probably because it's in the early stages.
I'm still in 2 minds as to whether I should have a second test done to confirm the diagnosis or just move forward with treatment. Iím not sure if the T4 test he had done was total or free so I should probably ask about that.
When he had the second test last year, what was the number? If it came back on the high side of normal I think that's pretty indicative along with this year's test that there's a problem. Hyper-t is one of those things that slowing creeps up over time. A cat without thyroid disease usually has values on the low side of normal. The test you had was probably a Total T4. Doing a Free T4 on a cat with a high Total 4 doesn't provide any additional info. It's typically only used on cats with hyper-t symptoms and a Total T4 within normal limits. Free t4 will catch 6-7% more cases than Total.
The vet said his blood panel showed that all his organs are functioning normally however I was wondering if an EKG would be recommended to test heart function.
There's no way for your vet to know that his organs are fine at this point. Hyper-T causes organ function to speed up and can mask failing kidneys. You need to get the numbers down to normal and do another blood test.
As regards medication, I've been told that an initial dose would be given daily for 6-8 weeks at which time another t4 test would be done to see if the dose needed to be adjusted.
Everything I have read indicates the re testing should be done after 3 weeks, my vet follows the 6-8 week protocol.
I was wondering if this could be a problem not testing earlier?
6-8 weeks is way too long imo. Maggie went into hypo-T in under 3 weeks. I noticed a significant change in her behavior at about 2-2.5 weeks.
I am trying to decide if I should try the transdermal gel or the pills. I can see him getting annoyed with the gel application so perhaps the pills in pillpockets might be better
Did your cat have any side effects or digestive problems with either the gel or pills?
I think you'll just have to experiment and see how it goes. I found that the extra $$ for the treats were well worth it.
I spoke to the vetís assistant regarding dosage and she said 0.5mg is to be given twice daily.
This seems to be a lot lower than the 1.25-2.25mg that Iíve been reading about although I understand itís better to start low and move up slowly to prevent the risk of hypothyroidism.
Starting slow is the way to go, but .5mg per day seems really low...but being really conservative is better than overloading so if that's what they want to do, I'd be fine with it.
Holly, Misty & their friend, Jake, the dog.
Onyx, Callie May, Maggie & Kobi forever in my heart.
Yes, I know I need a new signature pic...someday...