With her number being 130, i would ask for a bile acid testing be done.
You can know have urine bile acids as well and they are just as reliable.
Diagnosis alone can become very costly depending on which other test are done, usually an ultrasound is done.There are more invasive tests, however they may not be necessary to get a diagnosis. The surgery is very exspensive too. We imported a little girl a few years back......... sadly she had a shunt. It cost us a pretty penny to get her healthy again,we love her like mad. We call her our Million dollar dog. LOL
She is doing fantastic now, off all meds and enjoying the life of a normal dog.
Sending best wishes your way
Jan
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