Ellie has...something wrong with her liver. Biopsy ruled out widespread MVD, but not a more localized form. Her bile acids have been as high as 106 post, so it is theoretically possible that a shunt is present. She has no neurological symptoms and her u/s didn't show a shunt, so we aren't doing anymore testing right now. Because the bile acids have been so high, so is still treated as if she has MVD. This is most important for her when talking about anesthesia and pain meds used. I do give SAMe (Denosyl) because it can't hurt and I want to do something. She is on low to moderate protein. I don't like giving red meat or exotics to liver compromised dogs. Vegetarian protein, eggs, and whitefish seems to work best for the majority. Some do very well on poultry and some don't. Depends on the dog. When treating a severely affected dog, vegetarian proteins or fish or generally used...
In Ellie's case, her bile acids went from 47 to 15 to 106 post, so they got better and then worse. I'd be very surprised to see bile acids normalize for life in an MVD dog. Even if they do, the disease is not cured (but managed very well!).
Royal Canin 14 is rx only.
Sorry about my run-on paragraph.
