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Have you thought about giving your dog an anti-inflammatory. Steroids are really hard on the liver and if given for too long can cause cushings syndrome. So, short term is ok, but not long term. There are some holistic options, one is Standard Process Boswella Complex. It contains turmeric, a natural anti-inflammatory.

Inflammation can be caused by a great many things, including allergies. Do you have access to a veterinary allergist?
 

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My dog Murphy sees several different DVMs on a regular basis. Each has their strengths and each is playing a vital role in his health care.

That said, please don’t misunderstand what I write below.

We are the ones that advocate for our pets. If we don’t, they won’t get the care they need. I recommend, if your current vet is not able to diagnose the issue after all this time, he or she is not the right vet to see about it.

Find another vet or, find a well respect teaching hospital like the Royal Veterinary College. I don’t know where you live in the UK, so you’ll need to search for one closer to you. Teaching hospitals see a great variety of things that our vets never get exposed to.

I am fortunate to be an hour away from one of the best vet schools in America, CSU. We are frequent fliers up there.
 

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I forgot to mention the turmeric. Do a little search and you can see it is an anti inflammatory. There are other things that also will help. My understand is turmeric is best. The Standard Process stuff is a little expensive, even here. If you can find it in the UK, try a bottle and see if it helps
 
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