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Has she been checked for hyperthyroidism? I honestly wouldn’t try a liver aspirate without ultrasound to guide me to a diseased looking area of the liver. My personal experience with veterinary colleges is that they are less expensive than private practice. It may seem more expensive because...

Ohio State has a school of veterinary medicine in Columbus. I highly recommend you take your cat there for her best chance of pulling through this.

Have you tried ondansetron for nausea/vomiting? Or mirtazapine as an appetite stimulant if that is needed. It can be made into a transdermal ointment. An ultrasound guided biopsy is really the best route to a diagnosis at this point.

Have you had bloodwork done? It sounds like your cat would benefit from a liver ultrasound and ultrasound guided liver biopsy. You probably need to see a specialist or go to a school of veterinary medicine. The second option would be more economical.