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Hello and thank you for your question. I am a Veterinary Nurse with over 15 years experience and I have assisted in the care of many pets with this particular medical concern. It would be my pleasure to assist you today. Is it possible for me to obtain some additional information from you about your companion?1) When was the last time that Savannah had blood work performed? 2) Aside from anxiety, does she have a history of any other medical concerns? 3) When was her last urinalysis? 4) Is she using the cat box dependably?