when you say specialist are you seeing an internal medicine specialist? What tests is your vet running? Did he run pre and post bile acid tests? A regular blood test does not ALWAYS show signs of liver shunt my dogs did not but when pre and post biles were done she has a liver issue. Are you near cornell university as dr center is excellent with this. So what is his reasoning for a small liver? For urate stones? Does he know urate stones are tied to liver shunt? Sadly many vets are not familiar with liver shunt - i went to 3 vets and no one mentioned liver shunt in my dog with mvd and finally on vet 4 he asked if she was ever bile acid tested and i asked what was that and he said all yorkies and maltese should be bile acid tested as it runs so prevalent so the fact that your dog has a small liver and urate stones really concerns me but maybe we are wrong as we are not vets it just sounds like it and i would make sure you take all your blood work and test results and have it reviewed with dr centers as to why your dog has urate stones - what diet is the vet putting your dog on ? Is it a low protein diet? what meds is he referring to ? |