IMO I don't think she has a liver shunt. Those results are really really quite low. She may have MVD or no liver issues at all. Did she get any shots or pain meds recently, or heartworm pills or flea tick meds, as they can skew the BAT results.
Her head tilt, etc really seems neurological.
The l/d and lactulose can't hurt, but if she is having HE symptoms, the clavamox and lactulose and diet should be diminishing it very soon. Do you notice any difference in her? Is she getting better? |