Hi, I'm sorry your baby is having some problems. Those results don't seem completely conclusive of LS. Ultrasound would not be my next step at this point. I would probably just change the diet to L/D canned or preferably Royal Canin Hepatic LS 14 and put him on Denosyl and/or milk thistle. Then, I would retest in 30 days and make sure he doesn't have any heartworm or flea meds within 2 weeks of the new BAT. If the results are still even a little off, you know you're dealing with an issue in the liver.
OR you could just go ahead and ask for a Protein C test which will help determine if your baby has a shunt or if it's more likely to be MVD...
Try to feed small frequent meals instead of 1 or 2 regular meals. It's best to feed every few hours SMALL meals to help lighten the load on the liver.
Did they check for crystals in the urine?? This is very important and many times, vets just skip telling you that part. Ask for a copy of the urinalysis results, and read it yourself. Look for anything that might say ammonium urate or ammonium biurate.
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