I'm sorry that it is still up. I would be concerned because it has been elevated twice, so I would probably do more testing. I am very cautious though. I don't really know what your vet is talking about when he says she may not need surgery. Liver shunt usually shows up with readings of over 100 (of course there are always exceptions). A number like 33 could suggest MVD and there is no surgery for that. Are you atleast going to change her diet and think about supplements?
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