There hasn't been any direct improvement with the cream and I feel there are actually more dots now than before. Moochy also seemed to really dislike the cream and show signs of discomfort after it was applied. I have an appointment scheduled with the vet on Wednesday. In the meantime, I'm no longer using the cream and instead making a strong saline solution to put her in briefly to see if that helps. She is still eating normally, though she seems a little less active and more prone to long soaks. This makes sense since I don't know when she last shed, hopefully the saline solution benefits her.
It's been hard seeing her like this but it helps that she is still voracious and behaving mostly like herself. Hopefully this means it's more of an external issue.