A cat must eat roughly every day. When it doesn’t, the cat's metabolism starts consuming itself. Which is not bad if it is a diet as it focuses on consuming fat - but very bad when the liver malfunctions. Eating then causes the cat to have a gag reflex, and throw up any food eaten - and that can be painful, resulting in the cat choosing not to eat. Hepatic lipidosis is the formal name for “fatty liver disease”. The only treatment is having a tube inserted into their stomach, and pumping a little food into it on a minimum of a daily basis. The inserted tube bypasses the gag reflex. It can take a couple of weeks to get over the problem, but the damage to the liver remains. Also expect heart problems as well as future liver issues. Diabetes tends only to work with injections of insulin as the pancreas has pretty much quit functioning. Sometimes it can be treated with special foods if it is partially working, but expect to have to use injections every day for the rest of the cat's life.
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