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What other signs should I be looking for?
Just about all of my chameleons are getting old at the same time and having various health issues. If he is having problems with his tongue that is a sign of old age. Also falling and not using one or more of his legs or dangling a leg when he sits on a branch. I've had several older panthers with arthritis and my vet give Adequan injections to keep the joints lubricated and Metacam, an anti inflammatory for pain. They seem to get just about the same issues as us humans do as we age. I also have a panther with high blood pressure and hardening of the arteries. They also get cancer. I would recommend a good check up and x-rays by a qualified chameleon vet. I would also recommend short cages and or trees and catch nets. They can get hurt even worse if they fall.
Translation : Your Cham is going to break a hip.
Side note to jannb, your herp vet is better than my personal doctor. How the heck did they detect high blood pressure and hard arteries? Wow
I went to Dr. Doug Mader. He does x-rays (some of the best you have ever seen), ultra sounds and MRI's.