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Originally Posted by ladyjane  My Teddy's BATs were mildly elevated...we recently sent his biopsy out. We had not sent it right after his surgery. He does have some changes in his liver which is common with shunt dogs.
The vet nutritionist told me she does not do low protein....she advises moderate protein for MVD.
I agree with you and others. I would not be doing a biopsy. The only reason I did was because the sample was taken when the shunt was repaired. |
I wrote a whole long reply to this last evening and poof - hit something and it was gone and I just gave up.
Anyway, does your nutritionist think low protein is bad for MVD dogs or that the dyplastic veins and the liver manage to filter the blood and accommodate protein better than dogs with frank shunts so the dog can have a higher-content protein diet? I'm not sure about GI-broken-down protein and ammonia or what all happens once the blood reaches the MVD'd liver. I'm still searching for that article(now searching online books on Google) that explains what those inadequate veins do and don't do at the microscopic level faced with a fresh milliliter of blood after a meal or drug is ingested. Anyway, I'll probably start slow with him and change over slowly to be sure he won't itch and see how he does with the vet recommendation or the internist's and then when I can afford it in a month or so, seek out a nutritionist.
Does it make a difference to your nutritionist whether the protein is animal or not?