I have wondered if the diagnosis is truly Cushing's. Hannah has some breathing issues that started before Cushing's - just sounds like her breathing is labored all the time. She reverse sneezes all day every day and sneezes normally very often. She also has a heart murmur that she had before Cushing's also, but that's been silent since she's been on trilostane. She has ear infections often that go back about 5 years. Until the surgeries (12/2020) she was a happy, peppy, beautiful, and fairly healthy dog. These lab sheets don't say what the doses of trilostane were each time we tested but we started very low and increased very small amounts but it seems like it all of a sudden became too much. The last dosage per Vet was 5mg twice a day but I have taken her off of it hoping she will get an appetite.