HI all, I finally figured out how to get to this thread and responses, thank you all for answering and for your well wishes and ideas. So this is what has and has not been done with Kali. I pushed hard to have her checked for cushings because she had been acting ravenous for months and months, extremely anxious and drinking tons of water, I took in a urine sample and her cortisol level was "slightly high" so they did the ACTH stim test and I was told she was in the "grey area" not too high but questionable for cushings. She does have extremely elevated liver enzymes. She shakes alot of the times when shes laying down. The vet said that elevated liver enzymes can cause the tummy to hurt. She doesnt have the pot belly like Bandit does but all she wants to do is eat and its getting to the point where I think she is even considering eating her poop URGH! I took her to an internal medicine doctor and had an abdominal ultrasound last month and said other than some slight liver edge abnormalities everything looked normal, her adrenals looked normal. Told me to try the Trilostane then we went through the no appetite and diarrhea stage so they had me put her on metronidazole for 2 weeks and told me to hold off on the trilostane. Shes back to normal poop and eating 5 times a day (more if Id let her) Im cooking her food feeding her steamed sweet potatoes, boiled free range chicken breast, with some green leafy veg, ground egg shells. Im considering "justfoodfordogs" Metabolic Food-has anyone used them for food? I know they had a recent recall which Im told is far from ordinary for them. Kali being so picky just doesn't want to eat canned food and has never been a kibble eater. I did try to give her a trilostane the other day and she didnt seem to respond well to it, she was more anxious than usual, she couldnt settle down, I gave her 5mg only half the dose they wanted to give her and she weighs 17lbs. I got nervous and was afraid to give it to her again, I wasnt goign to be home the next day as recently I have had so many doctor appointments that it worries me to start her on something that I cant be here to watch the side effects, it would be great if I was going to be home for 5 days straight to see how it went but it scares me, however if you all input that trilostane helped save your dogs and worked wonders then Im ready to give it a go because Im afraid this (the cushings) is getting worse and I cant loose her. Lately when she gets super excited or anxious and gets on a non carpeted floor she looses her footing and has done a couple of backflips, its likes she cant keep her paws on the ground all together or maybe lift her backs legs? seems to be having problems jumping on furniture at times. Ive considered lignans and melatonin but dont want to waste my time if that treatment doesnt really work and I should go straight to the trilostane, I guess what I need is that gentle push forward, this is so hard to deal with but I love this baby girl and she saved my life so Im not ready to give up on her yet, shes like a toddler all day long HELP!! I have the trilostane in 5mg capsules, the doctor prescribed 10mg twice a day, I thought perhaps giving her 5mg twice a day to see how she does if thats the consensus? Your thoughts? He said its not enough to effectively treat her but since shes borderline cushings how could it hurt? then we can see what the side effects are, this is a regular vet not an internal med doctor so? thanks again for all your help :-) sorry for rambling, Im so stressed out right now :-( I have no support system ,no one to talk to about this and the doctors just say give her the drugs. Thanks for being here for me Maria (will write about Bandit later)