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The older years of a cat's life, when kidney, thyroid and heart problems become more common.
Weight loss, drinking more, a big appetite or a new heart murmur are common reasons to test an older cat. Kidney disease, an over-active thyroid, diabetes and heart disease can look alike, so vets often test them together. This page lists the usual tests.
In older cats several illnesses can happen at once and hide each other. Reading kidney, thyroid, sugar and heart results together gives a safer picture than any single test.
What vets often check
KFT, SDMA and a urine test show how well the kidneys filter and whether protein is leaking.
T4 and blood sugar help separate an over-active thyroid from diabetes and kidney disease.
NT-proBNP and troponin I can help when a cat has fast breathing or a heart murmur.
Liver tests and the pancreas-specific lipase help when an older cat vomits or stops eating.
A registered veterinarian chooses the tests that suit your animal's signs, age and history. This page is general information, not advice for one animal.
A wider yearly check for older dogs and cats: blood, liver, kidney, sugar, thyroid and urine.
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Kidney markers, urine protein and salts together, for dogs and cats with kidney worries.
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Liver enzymes, bile acids and proteins together, for dogs and cats with liver worries.
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Cat T4 with kidney, sugar and blood count checks, for older cats that are thin, thirsty or restless.
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Heart strain and heart muscle markers with T4 and kidney checks, for cats with heart worries.
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An older cat that is losing weight, drinking a lot or eating hungrily may have a thyroid or kidney problem. A T4 test, kidney tests with SDMA and a urine test can help your vet find out.
18 Oct 2026
Heart blood tests for cats are NT-proBNP, which can show heart strain, and troponin I, which can show heart muscle injury. Cats hide heart disease well, so these tests help a vet but never replace a heart scan.
18 Oct 2026
Pre-anaesthetic tests are blood checks done before an operation so the vet can plan the anaesthetic around the pet's own body. Young and old pets raise different questions, and a normal result is not a promise of no risk.
18 Oct 2026
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