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					Originally Posted by  Ellie May     TLC, I'm sorry your results aren't better.   
I am trying to decide now whether we will do a biopsy while Ellie is under to be safe.  I"m leaning toward no just because I would probably have to take Ellie to a specialist for it which I want to avoid.  I really like her vet now.  Of course, if we need to do one we will but with numbers like these I don't know if we should.  Since the lower protein diet is working anyway we can just do about 20% for her.  That Should be acceptable for both a normal dog and one with liver disease with no HE symptoms.  Besides there is some risk to the procedure... 
Decisions, Decisions.     |  
 
  I have to agree with you 100% - And even though Roxy's numbers are still high, I am not going to have a liver biospy done - To me it is way too invasive and she has been through enough with all her LP surgeries.  She actually has to have one more and than that should be it as far as surgeries go.  Both my Vet and Specialist are leaning towards MVD and there's nothing else to be done other than diet and supplements.   
Best of Luck