Today Kombu went back to the vet.
I notice blood in his stool and then he was having problems doing anything in the litter box. He was not eating or drinking water.
The doctor prescribed another round of fluids, and suggested we continue with assuming it's the hyperthiroidism giving him problems.
As we waited for the assistant to come in, and take him for his treatment I told him; if you want to die it is okay, it is your choice, and he thought about it.
We went home with new medciations and food, and will see what he decides.
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