[Ellie May]

Originally Posted by Yorkieluv

If she does have MVD, liver shunt, or a liver disease like that, any type of food with red meat like venison would not be good for her at all...Venison is good for healthy dogs but not liver compromised dogs....Red meat produces the most amount of toxins and overworks their livers...Also, duck is not recommended for liver compromised dogs because of the tryptophan..

If she has a liver condition, these foods may have caused the increase in the bile acid test results...But if this is the case, then obviously these foods are not optimal for her and it points towards liver problems...
Did they do other bloodwork the last time you took her in? If so, what was her ALT?
How old is Samie?

I do not recommend having an ultrasound liver biopsy done because the sample is so tiny that it might not show abnormalities in the liver... If you do a biopsy, make sure they actually go in and take several samples not through needle biopsy...

If you have an ultrasound done, make sure it is a doppler u/s...Remember, a u/s is only as good as the person reading it...Just because they don't see a shunt does not mean she does not have one. A u/s will show if the liver is normal size or atrophied and will show if there are any stones/crystals in the bladder...Other than that, I would not count on it showing a shunt.

An u/s also won't show if there is MVD. The only way to confirm MVD is to do a biopsy.

It's hard to say what to do next...It depends what you want to do...

There is a protein C test also...

Keep in mind, there are several things that can cause the bile acid test results to be high, so it may not even be MVD or liver shunt, but with yorkies being 36 times more likely to have this than all other breeds combined, it's always good to rule it out.

This is very important. If they do a biopsy, make sure they take several samples.