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Originally Posted by MyFairLacy  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. |
With high bile acids, if I lived close to Cornell, that is where I would go without a doubt because they may not pressure you to do an ultrasound (since they aren't entirely accurate...). He needs a bile acids test...paired samples around a meal.
If he is asymptomatic, the food choice is really yours but if you switch it, be ready to switch it again after diagnosis. At the very least, I would switch to a puppy food with chicken instead of red meat. Before switching a young pup to a vegetarian/adult food, I would talk to a specialist.