A blood panel can be done at the same time as the bile acids test. She can have water before either. I would wait a couple weeks because of the drugs she just had and the trauma she just went through. I also wouldn't give her heart worm med a week or two before.
Ultrasounds for shunts are only 60-80% accurate. Unless you want to see the size of the liver or if she has bladder stones, it could be a waste of time and/or money. Protein C testing and scintography are the better tests for this.
With MVD you may need to change her diet and put her on supplements. With an intrahepatic shunt, she may need surgery. That is one very good reason to get the bile acids test done pre-spay...the shunt surgery and spay can be done all at once.
It may be another problem altogether though or just mild MVD, so I would wait til the bile acid numbers are in to figure out what to do next.
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