Severely matted
I would get a seditive from cat's vet, hire an experienced groomer who specializes in cats and have the poor thing clipped down and a warm bath with a hypoallergenic shampoo. No travel time or vet visit to stress the cat out and when he recovers his alertness from the seditive everything is over and he feels 100% better. A weekly brushout with a cat slicker will keep this from happening again.
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