I think a derm would be very helpful. If she was on a hydrolyzed diet for eight to twelve weeks with no treats, no flavored drugs including heartworm (can replace with topical), no chews, no flavored tooth products, etc. then it is highly likely that food is not the major problem. In that case Atopica is definitely worth a try. I'm pretty sure while the Atopica is getting into her system, you can keep her on the steroid so she is comfortable.
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