Nancy, the surgeon feels that there is no need for any additional supplements at this time. Her MVD is so mild that he would actually be OK with her being on normal adult food (Roxi will be 1 in November). The adult food has less protein than the puppy food and since she has shown no symptoms of liver disease (other than her bloodwork) is why he said he felt she would be fine on the normal food. He would like to have her bloodwork checked before we change food and then after we change food to give us a better idea of which is better. I think he is trying to save me money, but I don't have any problem keeping her on the prescription low-protein food. She really doesn't eat that much and she has put on 9 oz. since we switched her over (I'm still trying to get her to 3 pounds

)