You can add milk thistle for more liver support.
A homemade diet could possibly help quite a bit as long as the right kind of protein is used. Is this the canned or dry L/D?
With the lactulose, it should produce two soft but firmed bowel movements daily.
Lepto is a horrible disease but so is the vaccine.
I think if the MVD is severe enough to use all the things you listed, overvaccinating is a major concern. Vaccines are very hard on the liver.
What vaccines does she get and how often?
How about flea and heartworm meds?
Some owners with liver compromised dogs really like VSL #3 (human probiotic) or Azodyl (specific to kidney function if there are any UTIs or stones). I don't have experience with either but one or both "may" help.
There is a group of people on Yahoo who can really help you with this.
I don't have the link right now but somebody should be along to give it to you.
__________________ Crystal  , Ellie May (RIP)  , Rylee Finnegan  , and Gracie Boo🐶 |