My vet received a written report from Dr. Tobias this morning and these are just excerpts from it:
About passing the denamarin whole -
"As noted in your communication, her bile acids are improved at 2.5 and 46
(9/2/09) but still not normal. You also noted that she has been passing the
denamarin almost unchanged. I agree about discontinuation of the lactulose.
Since her chemistry panel is normal and she has gained weight, she should do
well on the liver diet alone...."
"Based on Lola's bile acids and bloodwork, I would suspect that she has
microvascular dysplasia secondary to congenital portal hypoplasia. The only way to know for sure is to repeat the scintigraphy and liver biopsy...."
I don't think she recommends repeating the Scintigraphy and biopsy again, and my vet agrees. We will just maintain Lola on a good, solid low protein diet. She has done super since the surgery and we will continue with what we are doing. ~~~ Valerie, "Lola & Harley" |