There is another major concern with cats who are not eating. This is that cats who do not eat may develop a condition called hepatic lipidosis (fatty liver disease) where the liver starts to function abnormally; this can happen after just a day or two of not eating, and can be life-threatening. If a cat is truly dying, the digestive process will cease to function and the cat will not need food. If you fear this time has come, you will not only see a refusal to eat but many other symptoms as well - check out The Final Hours for more information. But please don't assume your cat is dying simply because s/he won't eat! Not eating is one of the most common symptoms in CKD cats, and appetite can come and go, so don't fear the worst just because you see this symptom. 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