Your girl is likely not eating because in dogs with liver shunt, toxins build up from certain foods and make them feel sick. Unfortunately your vet made a bad choice by using the G/D. Canned L/D or Royal Canin LS 14 kibble are better choices for liver compromised dogs. Red meat, organ meat, exotics, and pork can be very hard on the liver. Foods high in ammonia (toxins) like red meat aren't a good thing because ammonium builds up in their system from it causing neurological symptoms (hepatic encephalopathy). Shaking is one of these.
What tests have been done?
What were the results?
Can you post them?
Yes, in most cases of extrahepatic LS (common in Yorkies...meaning the shunt is outside of the liver as opposed to inside the liver), surgery is recommended. Microvasular dysplasia or MVD (small shunting throughout the liver) is not operable and it is treated with diet and supplements.
Yes, since your girl is symptomatic and quite lethargic, she should be on SAMe, lactulose, and milk thistle wouldn't hurt.
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