Sorry to read about Lacy's elevated bile acid test results...I agree that urinalysis should be done to check the pH and to check for crystals.
If you do u/s, doppler is best if looking for a shunt. Make sure they check all of the organs including the bladder for stones. Scintigraphy is more expensive, but much more accurate at diagnosing shunt.
Dr. Dodds diet as written is really not "low" protein. Just 3 oz of cod contains 20 g of protein...
Even though her symptoms seem mild, she does have some symptoms, and like you said, it's important to get a good idea of what's going on with her so that you can help her...The symptoms you described are typical of dogs that I've seen with MVD/liver issues.
Prayers for Lacy!!
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