Quote:
Originally Posted by lucyliu  Thanks for the input. I have read some of your remarks on others with this issue. Do you think it is necessary to do liver biopsy with these numbers. My vet is saying this is the logical next step. And he says there could be a shunt seen when in there even with these numbers. I thought the numbers had to be over 100 to be a possible shunt. |
usually over 100
all i can say is if it were mine I would not do liver biopsy as even if it is mvd then putting on low protein diet is all you can do nothing they can do to fix it and anytime you biopsy there is risk and if they biopsy the wrong part of liver it may not show up anyway. Also if my dog was not having any symptoms at all I would only do low protein of 22% if symptoms 18% and go from there.
Now if my dog was having symptoms like seizures i would do scintigraphy to rule out a shunt but usually for shunts they are over 100