I just copied this from my thread and brought it here to make it a little easier for you to find
I was wondering how Bruce was doing. If you see my post on Zoey's blood work I am asking about her levels. The vet is recommending a Bile Acids test as well. What were Bruce's level's? Did he show any symptoms of this in the past?
First I just want to say my heart goes out to you, I know all too well how stressful and worrisome this is for you. The reason I finally had a blood panel done on Bruce was because after he was neutered, he was not coming around as quickly as Lola had and they were both fixed on the same day. But Bruce had always displayed GI upset problems since he was 3 months old. He would have bouts with constipation and vomiting--some days he would just be "off". Once he even had mustard like diarrhea.
What I know now is that these GI problems are not uncommon with liver disease, and the reason he was having a hard time after the neuter is because the liver has to filter/process toxins out of the blood and anesthesia (from the neuter) is particularly taxing on the liver when it is not normally functioning.
His bilirubin was high as was his alt (I can't remember the initial numbers at the moment) so the vet recommended the bile acid test at that time. His bile acid levels were extremely high.
I would go ahead with the bile acid test at the vet you are most comfortable with. What I've learned from research and from the vet is that this is a valuable test when the initial panels are indicating possible liver problems. If it comes back normal it will give you peace of mind. If not, then you can start thinking about your next steps. But don't panic, although it is scary, there are some treatment options, diet changes, supplements etc.. that are available. Liver disease or failure is a devastating thing to learn that your baby has, I know. But there is always hope and determination. And Bruce is doing ok by the way. He is a fighter and he has his good days and bad.
Zoey has a good, caring mama - and that in itself gives her an advantage right off the bat!
I will be praying for you and Zoey. ((((hugs))))