Hi and first off....Happy belated Birthday, Athena!!!!!
You will see that I have merged your post into Athena’s original thread. We normally like to keep all posts about each pup in a single thread as it makes it easier for members to refer back to the pup's history when needed. Thank you for the update although I am sorry that Athena is having some difficulty right now. Could you do us a favor and post the results of her ACTH stimulation tests and the dosage of Vetoryl she was taking when the monitoring tests were done? Were her electrolytes checked recently? Also, I see she is taking pain medication, is this for arthritis or something else? When did Athena restart the 30 mg of Vetoryl? Was her cortisol checked before restarting the Vetoryl?
For reasons that are not yet fully understood, it also seems that larger dogs may need lower doses of Trilostane per pound than smaller dogs to control clinical symptoms, on the forum we have witnessed this too. So, it just may be that Athena is one of those dogs that needs their cortisol to be in the higher normal therapeutic ranges to feel her best. Is her appetite good? Is she drinking/urinating normally?
Sending you and Athena tons of loving hugs, Lori