[magsy17]

Originally Posted by Ellie May

If you are going to change her diet there are a few options.
Canned Science Diet L/D is used often.
Dry Science Diet L/D is used but it contains a couple things that are not recommended for liver compromised dogs or that shouldn't be in dog food at all (like ethoxyquin).
Royal Canin LS 14 kibble is good for liver compromised dogs but it is very important that these dogs get lots of moisture, so if you go with kibble, you might want to add equal parts water (1/4 cup kibble with 1/4 cup water...). Royal Canin has also made several Yorkies very itchy (including mine), so I hesitate to recommend this food but it is one of the better choices.
Vets will sometimes try to give Science Diet K/D because it has less protein than L/D but one of the ingredients in hard on the liver, so I would stick with canned L/D or Royal Canin 14 kibble...

Natural Balance also makes a vegetarian kibble that might work for some dogs.
The goal with feeding protein is to feed as much as you can without seeing symptoms. Neurologic symptoms (like shaking) mean that the toxins from the food are going to the brain and aren't being filtered by the liver.

Red meat has the most ammonia and should not be fed at all.
Non-meat protein is considered best so far.

If you don't want to feed any of these, you can homecook.
There are recipes available for liver compromised dogs or you can talk to a nutritionist.

As for supplements, in my opinion, all dogs with compromised livers should be on Denosyl (the dog version of SAMe) or a similar product that is liquid called VetriDMG. Entirelypets.com sells Denosyl for about $19,00 a month which is way cheaper than some vets sell it for. No prescription is required but it is always best to talk to the vet about it first. It is very safe. Lactulose will also be needed if she is having symptoms. It helps push the toxins out of the body. Fish oil and vitamin E wouldn't hurt.

While I think that with the shaking and high bile acids your girl does have a liver problem, I really think a new team of vets as Chattiesmom said would be a good idea.

The only thing I would add to this would be the Hepato Support that can be purchased from here HomeVet Online Store it is actually comprised of milk thistle. Good luck!