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Hi there. My name is ***** ***** I'm happy to help you with your question today.
If this were me, I'd definitely get a second opinion.
At 13 years old, I could see your normal vet not wanting to do something horribly invasive, but adding some thyroid meds...which can be really, really low dosed (my dog is on 0.1mg) doesn't seem like it would be out of the realm of possibility....especially since we obviously know that your dog is very geriatric, so keeping him more comfortable for whatever time he has left would be the most important thing to consider.
I've worked at several vet clinics, and I can't imagine if any of them would have said no to such a reasonable suggestion....so yes, if this were me, I'd definitely have him seen by a different vet....just for a second option.
I hope this helps.
I'm not a vet, but I'm a licensed veterinary technician...who has worked in a busy multi-vet practice and a high volume spay/neuter clinic for the last 10 years or so.
I'm also lucky enough to be having a crafting date with a veterinarian tonight who I consulted with about your question...so you sort of got two for the price of one.
I'll opt out and see if someone picks it up.