Having lived in AZ for over 10 years it is fair to say garages do get hot and few are air conditioned so I can see members being concerned. There is no way people can figure out what is going on with your dog and really you should take him in for a blood panel at the minimum. Yes, vet bills are expensive but that is one of the responsibilities we take on with these little dogs.
The vet might recommend a bile acid test also but only a vet can recommend what tests to do.
I wish your sister luck with her little one.
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