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According to Dr David Brunner's "Cat Owner's Manual":
18 years = 88 years in human years (if your cat is indoor, only).
18 years = 152 years in human years (if your cat is outdoor).
The kitty has lived a very long life. I would let live out her life happily, without surgeries or pills, etc. nwlinkvxd says that the one thing he regrets is the last thing he did with his 12 year old cat was shove a pill down his throat.
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