She is also on low dose of prednisolone every other day and her blood work is perfect and ALT was never high and still is not as we get blood work every 6 mos on her due to medications.
Here are the two yahoo groups – they use to be one but split off since I was active on them so I recommend both as you can see two points of view by being on both
DogLiverDisease : Dog Liver Disease Liver_Shunt_And_MVD_Support : Liver Shunt & MVD/HMD Support
The two experts on this subject are
Dr Centers an internal medicine specialist and Dr Tobias a surgeon who repairs liver shunts.
Before I knew about all this dee dee ate nature’s variety raw diet and she had no issues. I know some nutritionists do not have a problem with raw diets in liver dogs as they have natural enzymes which break down the protein in the body and they are low in protein if you read the content. Here is venison which is 13% protein
Nature's Variety: Venison Formula: Raw Frozen Diet for Dogs and Cats | Nature's Variety
The problem with raw is you run the risk of getting a bad batch as my friends dogs almost died of a bad batch of stevies so it scared me and I stopped feeding raw. Also immune compromised dogs on immune compromised drugs like atopica or steroids makes me nervous as you are dealing with the risk of bacteria issues but ann on here has a dog on atopica and feeds raw and many people with dogs with cancer feed raw so it is your call.
Also a more natural way to cleanse liver and urinary tract is juicing zucchini and celery together and then putting the pulp on food and juice. Zucchini cleanses the liver and celery cleanses the urinary tract. Always use organic food when feeding toy dogs as less pesticides, etc.
Keep in mind high protein diets can cause more probs than liver issues it can also cause kidney issues as well as stones. High protein diets are suppose to be for very active breeds and this is not an active breed thus 22% should be sufficient and more safe for this breed since 38% of the breed are likely to have liver issues.
Also mvd dogs and liver disease dogs should NOT get NSAIDS. Tramadol is the preferred pain management for liver dogs BUT it should not be mixed if you give your dog sam-e.
You will notice on here you will get different points of view so you will have to take info and make the best decision for your dog with your vet or specialist. I am expressing my point of view only in what I have read and learned for the past 5 years.