The vet is probably not too concerned because if it is just asymptomatic MVD, nothing has to be done. You can change diet although the very low protein foods are usually reserved for sick pups. You could go 18-22% protein. Supplements aren't going to hurt. Could do these things for a month or two and retest or you could just go to an internist and get it all over with. They may want to do an u/s though which may be a waste of money (unless they are looking for stones or to see if the liver is the right size, etc.). Doesn't seem severe enough for scintigraphy, but only a vet could really decide that. Are the liver enzymes normal? If the bile acids are up for another reason, it would be worth knowing what, so I would definitely keep paying atention to them and not just let the vet drop it...
__________________ Crystal  , Ellie May (RIP)  , Rylee Finnegan  , and Gracie Boo🐶 |