Not real costly as surgery is not too bad at $1600 i believe and i would only have dr tobias do this surgery as i have seen others go to other surgeons and dogs have died
my dog has mvd. I would get your dog on natural balance vegetarian as that is a low protein diet and low protein is important -- you need to join the two liver shunt groups dogliverdisease and Liver_Shunt_And_MVD_Support at yahoogroups.com as you will learn alot but you need to provide the pre and post bile acid numbers and the full blood panel numbers so they can help you see what is going on