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I had the same thing happen with my cat Binx. It got to the point she couldn't jump up to the bed so I made a ramp for her, so she could enjoy her favorite spot. I also got a kitten from the shelter and let them bond. It was very clear when Binx was ready and we took her in. I cried off and on for several days. She lasted 5 months after we got the kitten and now we see personalities of Binx in our new cat. We have great pictures of them together and it makes it easier.
Cats have special enzymes that help them not feel pain, so if she seems in pain you know it's pretty bad. Talk to your vet about adding another cat however, because it can be stressfull to them.
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