What were the results of the bile acid test? That will help. Typically, not always if the dog's post meal results are under 100, it usually indicates MVD and if it's above 100, it's more indicative of an external shunt. My boy was an exception to this, as his results were over 300, and they were not able to find the shunt when they went in for surgery. So he was basically diagnosed with internal liver shunt/MVD.
I just read about a yorkie that had the liver shunt surgery at age 8 and everything went fine.
With new diet, lactulose, and supplements, you usually see immediate results. The seizing will stop and you will see an improvement in your dog's behavior.
The lactulose is extremely important when they have liver issues...The amount of lactulose that you give should be determined by stool consistency. On lactulose, your babies stool should be soft and difficult to pick up but not a pile of diarrhea and not firm. Lactulose should be given directly after meals because it helps push the toxins right out of the body.
There are other alternatives to the k/d...There's Hill's l/d, Royal Canin Hepatic LS 14, and after a couple of months when your baby is stabilized, you can also feed Solid Gold Holistique Blendz(Petco), Avoderm Vegetarian(online), Natural Balance Vegetarian(Petco).
Supplements like Denosyl (Sam-E) and Milk thistle are also extremely beneficial for the liver. The antioxidants help prevent further damage and these supplements also help repair the damaged parts of the liver.
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