Does it mostly happen before or after eating?
When it happens and you give a sugar supplement (i.e. Nutrical), does he return to normal within a few minutes?
If it is not hypoglycemia and not his liver, then he needs to see a neurologist.
What were the numbers from the bile acids test?
Microvascular dysplasia tends to cause more mild elevations. The two disease present with the same symptoms (MVD pups can have milder symptoms and are sometimes asymptomatic). With these symptoms and an elevated bilirubin, it's probably best to just go to a specialty hospital. If the liver checks out, then he would go to neuro. As long as it's not his sugar, that's probably where he needs to be. Using a supplement for a month is usually fine if a liver problem is suspected, but if he continues to be wobbly, it is not okay to wait. That has to be brought under control asap.
__________________ Crystal  , Ellie May (RIP)  , Rylee Finnegan  , and Gracie Boo🐶 |