First of all, this is something that is recent, right? Not something that he's done now and then since he was a kitten? Because I have one guy that just looooves the sound of his own voice in the quiet house at night. He just strolls around talking to himself, does it on and off. But he's done that for years, it's not recent.

If not, then I assume with all the frequent bloodwork that he's had a thyroid check done very recently? The thryroid tests are usually an add-on at the laboratories or they are often included in a 'geriatic' panel. Hyperthyroidism can cause restlessness and agitation in cats, and older cats are especially prone to developing hyperthyroidism. Even if he was checked six months ago, it's possible he has developed it since then. I would also check with his vet to see if any of his medication has restlessness or agitation as a possible side effect. Is he on Amlodipine for the blood pressure? I can't remember if that's an effect of that drug or not.

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