I would still want to do a Bile Acid test first to get a paired sample around a meal before just jumping into more diagnostics. I also recommend a urinalysis.
So far as which place to be referred to, that's up to you. I dont know anything about the place your vet wants you to go to, but Cornell is one of the top vet schools in the country, and Dr. Sharon Centers who developed the bile acid test and researches liver shunts and MVD is at Cornell.
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