Lol:) I think Lacey will like it. The L/D may be fine (as long as you stick with the canned). I just know that some people see good results with Dr. Dodds Liver Cleansing Diet. Since the fish (that it calls for) isn't optimal for some liver compromised dogs some switch it to egg. Yorkieluv does this for Miko and he is doing really well with it. I did it for Ellie for awhile but we don't have to be selective anymore. You could ask for help on the conversions at the yahoo group. Isn't it 2-3 grams of protein per day per kilogram of body weight (2 in your case because she has symptoms)? If my math is right that is about 1.5 (or 2) grams of protein daily and someone would have to figure how many grams are in an egg to see how much she should get a day. The diet also contains sweet potato, green bean, white potato, canola oil and supplements. This is a low fat diet so you could supplement with apple or watermelon bits. I also think the supplements in this recipe aren't balanced but someone could probably figure that out. You could also talk to a nutritionist about it. This can be a lot of help. Maybe Susan Lauten from University of Tennessee? When you feed an all-in-one like L/D you may be feeding too much protein if you increase the amount that she eats in a day. If you feed homecooked you can give her her allotted protein for the day while increasing the veggies and/or carbs.

Or if you are very happy with the L/D you could add extras to it with no extra protein.

a dog nutritionist? or just a people one?lol

dog:)

I'm so sorry she isn't doing better. Sending warm wishes your way...

Yes, please no red meat...That is the very taxing on a sick liver. It produces the most amount of toxins and really makes the liver work too hard.

An ultrasound cannot confirm whether or not she has a shunt. In fact, most of the time an ultrasound is inconclusive in that sense.

You are not being selfish by keeping her alive. She CAN get better, but the sicker their livers are, the longer it takes to get them stabilized.

Canned L/D is fine, and you might want to add a little apple as snacks (no skin). Do you give Lacey the lactulose at each meal? She should be getting about 3 doses per day. This would be optimal to help push the toxins out of the body. She should be getting several small meals per day to help ease the load on her liver. How many bowel movements is she having in one day?

Unless you're really willing to put in the legwork needed to learn how to calculate grams of protein in the foods and which supplements, etc, I would say stick with the L/D if she likes it.

she gets lactulose @ 6am 2pm 10pm and gets 1tsp of LD 5x's a day but vet just uped it because she is loosing weight still. in one month she has gone from 4lbs 11ozs to 3lbs 2ozs. so my question is can i give her things like sweet potaos ect along with the LD? just to get her weight and activity up?
according to the ultra sound her liver is normal size.so at least thats a good thing.

Oops, my math was wrong. So please nobody with a dog with MVD listen to it.:) Since you are sticking with the L/D I don't think there is any problem giving extras like apple for the calories. Maybe your vet can give you a list of foods she can have.

I'm so sorry to see that Lacey isn't better and losing so much weight. You are not being selfish by keeping her alive. There is always hope and I would do the same. I will pray for a miracle in your sweet baby. *HUG*

You can add carrots, green beans, apple and watermelon to her food if you want.
How is she doing??