[Ellie May]

I would keep the appt. and do the urinalysis.
I wouldn't be in a hurry to do an xray.
If you are doing to do a u/s anyway, xray just seems like a waste of money.

U/S is great to see the size of the liver, etc. and the other organs but don't expect them to find a shunt. You may get away with just doing a Protein C test.

Diet is so hard because opinions are so varied. I honestly don't care too much about what vets or nutritionists say about it because they aren't the ones who own the dogs and they aren't with them all the time. I do agree with the findings that vegetarian, fish or egg protein is best because there is an explanation for why this is. It is the toxins (most notably ammnonia) in meat that the liver has a hard time processing. Because liver compromised dogs are more prone to a compromised immune system, I would not do raw at all. At the same time I don't think a dog that is mostly asymptomatic needs to go on a 16% prescription diet kibble. I think there is a happy medium somewhere.

You may be able to stop the NV for a month, go to a lower protein food with a better protein source for liver issues then retest but because the pre was hgih, I wouldn't be too happy waiting that long. With her having a couple symptoms, I would consider not waiting and going ahead with testing or at least SAMe.

Were any drugs given within a week before the BAT?