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What causes cats to have balance issues?

My cat doesn't have great balance, he often falls from the back of the couch and from the armrest which is approximately 25cm wide and 1.5 meters long. What could cause this to happen, he is 18 months old. He is adopted from the RSPCA where he was for 11 months. He is strictly indoors and has not fallen from a great height

kairossi14

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