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Originally Posted by Ellie May  Most vets seem to rule out liver issues when they see normal enzyme level. Problem is, those don't necessarily go up until the liver is significantly damaged. If your Yorkie isn't showing many symptoms, it could be nothing at all or MVD. It sounds like with crystals and protein intolerance, this should be taken a bit further. |
You can't rule out liver disease without a bile acids test and, if indicated, a protein C test. Many vets don't see enough cases or keep up with the changing protocol on diagnosing and treating liver disease.
Did you know that Dr. Center recommends all Yorkies have a bile acids tests once they reach 20 weeks since liver shunts are so common in the breed?