[Ellie May]

Reference range is 15 or 20 and below post meal. 25 is sometimes considered normal. 96 is pretty far up there... That doesn't mean it is uncommon in Yorkies, but yes, it is high.

The three day illness may not have been related at all unless she was having neurological symptoms.

Bile acids under 100 usually indicate microvascular dysplasia (MVD) in Yorkies (small shunting throoughout the liver....inoperable). Over 100 usually indicates a shunt that can probably be repaired. There are many exceptions to the rule and sometimes they don't show symptoms till later in life. Some dogs, esp. with MVD, can be completely asymptomatic. So if she does have MVD you may not have to do anything at all. Best option (imo) is to see an internist and go from there. If they want to go further with testing and they give you the choice of u/s vs. scintography, really consider the scintography since it's much better at locating a shunt.

Try not to worry too much in the meantime though because asymptomatic MVD is possible and you may not need to do a thing or just give supplements and/or a diet change depending on what you and vet or internist decide.

Does that make sense?

My girl's bile acids were post 106 at last check. Liver biopsy didn't show anything serious and u/s didn't show liver problems really. I just give supplements, watch her protein intake, and we are very careful with the drugs that she receives.