Sorry... I have to go soon... the symptoms your describe sound like a plastics toxicity (starts with chin rubbing) from a sensitivity to chemicals that leech out into the food and water from plastic food bowls. If these are liver toxic, it can give high liver enzyme bloodwork results, and will also give high Bile Acids results. A positive BAT does not always mean the dog has a Liver Shunt.
If you can post his bloodwork and BAT results it would be helpful.
To answer your question... there would be no difference whether you use a formulated manufactured diet or homecook... but if homecooking... I would get an approved diet from a nutritionist. |