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Subject Cat People, I need your help

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So my fiance has a black male cat that is about 4 years old, we can never consistently get him to use the litter box and he pukes all over the house several times a week.

This has been going on for pretty much his whole adult life and we have tried everything.  He's been to the vet a few times for these issues and has been given medication, didnt work.  Tried every type of food suggested, didnt work.  Elevated food and water dishes, didnt work.  Slowed down the speed at which he eats, didnt work. Put out several little boxes, didnt work.  Tried the confinement routine on litter box traning, didnt work.  If it is in a book we've tried it.

Help me out GLP!
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Have you checked him for urinary/kidney stones or infection?
Tumors?
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everything but the tumors.  and that idea crossed my mind
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Original Message So my fiance has a black male cat that is about 4 years old, we can never consistently get him to use the litter box and he pukes all over the house several times a week.

This has been going on for pretty much his whole adult life and we have tried everything. He's been to the vet a few times for these issues and has been given medication, didnt work. Tried every type of food suggested, didnt work. Elevated food and water dishes, didnt work. Slowed down the speed at which he eats, didnt work. Put out several little boxes, didnt work. Tried the confinement routine on litter box traning, didnt work. If it is in a book we've tried it.

Help me out GLP!

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