Do you have other liver values, such as ALT or ALP? An ultrasound is a good next step as it is a non-invasive test. As far as the biopsy, I would ask your vet what they are looking for and what they expect to find, and how the results would change the treatment protocol. Liver disease (unless a shunt is suspected) is often treated the same way with meds, supplements and diet change. My yorkie had liver disease diagnosed at 2, and lived till 16. He did not have a biopsy. We treated with supplements, occasional antibiotics and diet change.
Diana |