Please don't give up !!! There is always fear in the unknown and trying to decide what is best.
Have you considered seeing another vet or hospital? I am so sorry that you and Pepper are so exhausted. Try to talk maybe to another vet and see if there is another alternative you haven't explored.
I know it's not much, but I'm sending you every warm healing vibe I can.
((((((Hugs))))))
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