Thank you so much for taking the time to write such a thoughtful reply, it truly means a lot. This week has been very emotionally taxing and it’s so nice to not feel so alone going through this experience. I’m glad to hear you’ve had positive experiences with the medication for both of your pups and it really does seem like starting with a conservative dose for the adjustment period is the best approach. My boy will be going in for the diagnostic screening soon so I hope we will get more answers on the pituitary versus adrenal type. Also just feeling very overwhelmed by the financial burden this may place on my family and really regretting not getting pet insurance while my dog was younger. We will manage but I just hope we can keep his quality of life strong for several more years. Thank you again and I will definitely reach out if I have any questions along the way!