[QUOTE=Ellie May;3422517]Interesting thread.
If I had a dog with LS, I wouldn't feed K/D because I think there are better foods for this issue, but I can't say not to either. I would let an IMS or veterinary nutritionist decide on that. About the pred, I have no answer. The problem saying that it shouldn't be used is we have no idea what is going on here, and even if we did, maybe we're missing something. I mean, it's realllllly easy to miss something that a vet said, and then trying to recap and tell a forum full of people what they said can be difficult. There is always a chance that something got mixed up in the interpretation. So what if there is more than one issue here or? So OP, if a general DVM told you to give pred and you don't want to, then ask an IMS that is experienced with LS.
I appreciate your thoughts. She had been on L/D and responded so much better to K/D (and ate it better). I did see on the TN website that K/D is used in some LS dogs. One of my vets (both in the same office) has a dog with his own liver issues, so has does a lot of research and made the suggestion to try the K/D and so far so good. However, I do see so much praise about Royal Canin LS and wondered about trying that, but do not see if it comes in a canned version??? She absolutely won't eat dry.
As I said, I am going to go with his suggestion of 1/2 tab of Prednisolone every other day and then check her levels. Right now, she is eating well, no HE symptoms, no vomiting, etc., and I will monitor her closely.