Quote:
   | 
					Originally Posted by Ellie May  lol, you're not a nut case.Vision issues can accompany the hepatic encephalopathy from the toxins building up as does the appetite change.
 
 Any reason after he got the second shunt and the vet realized this was going to be an issue that he wasn't put on Denosyl, milk thistle, vitamin e, omegas and lactulose for any neurologic symptoms?
 
 Are you using the canned or dry L/D?
 
 I would definately be talking to Dr. Tobias or Dr. Center as soon as possible.
 | 
 
  You can call U. T. and maybe get in touch with Dr. Karen Tobias, she is the very best.  My 2 year old yorkie just had surgery on her LS, March 26th, Dr.
Tobias did it.  I would see about get the lactulose, and Denamarin, (denamarin is one pill that has denosyl , and milk thistle in it), it easier to give just one instead of two.  The lactulose will flush the toxins out of the liver.  Here is number to U.T, (865) 974-8387.  They are so very nice there.  Sandy