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Hi, JACustomer. Can you share a video of the twitching that you're seeing in his back?
JACustomer, please take a look at this video and see if this is similar to Sam's episodes. It sounds like this cat, Ruby, likely grooms herself more than Sam does but I want to see if it looks like this to you: https://www.youtube.com/watch?v=sV4WCeEZ2to