https://www.vetsurgeon.org/f/clinical-questions/25370/cushings 11y MN Tibetan Terrier on long term Loxicom + Tavegil (since August 2016, for pruritus). Liver enzymes have been increased in the past, put down to long term loxicom use, and he is also on Samylin for this. One of the vets saw him mid January for a repeaten-USTelligent Community 10https://www.vetsurgeon.org/thread/173655?ContentTypeID=1Mon, 06 Feb 2017 16:40:10 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:345a317f-8b53-4c42-b45a-2010fe1caa24Anthony Dennison<p>[quote user=&quot;Elisabeth Knappett&quot;]Any skin/coat changes or pot-belly developed?[/quote]</p> <p>Definitely not pot bellied. As I was clipping for the scan I thought his fur was a little thin, but that may be normal for the breed.&nbsp;</p> <p>[quote user=&quot;Elisabeth Knappett&quot;]urine protein:cortisol ratios are considered as good for rule outs, still waiting on the reference...[/quote]</p> <p>Yes, I&#39;ve used these in the past to rule it out. Might be something I consider.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/173653?ContentTypeID=1Mon, 06 Feb 2017 16:24:04 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:45e0f3b8-dd7a-4ff4-b9bd-fef340832866Elisabeth Knappett<p>Can you get a correct blood glucose reading first? Any skin/coat changes or pot-belly developed? I prefer LDDST for Cushings diagnosis, but have been informed by a colleague that urine protein:cortisol ratios are considered as good for rule outs, still waiting on the reference...</p><div style="clear:both;"></div>