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Hmm I'll be interested to see how it turns out for poor Gobo - like I said, we haven't done any treatments or changes for Finley since he was diagnosed, and he's doing perfectly fine. Perhaps Gobo has a higher/worse stage of the condition? But good news about no shunt!
 

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Discussion Starter #22 (Edited)
Good luck on the blood tests. I wonder what Flagyl does for the liver? I was a medical assistant with family practice, and that wasn't what flagyl was used for. More for gynelogical problems! Maybe ask the vet about vegan dog food? I know they exist, but you'd have to google them?
The way my vet explained the meds is that it keeps down the load of anaerobic bacteria. With blood not going through the liver correctly, bacteria is not always cleaned out of the blood, which can clearly cause issues. I actually was doing some research on foods yesterday, and there is an organic vegan food that has protein on par with the prescription diets (PetGuard Organic Adult Vegetarian) that I am curious to try. I would add some oil to up the fat content.

Hmm I'll be interested to see how it turns out for poor Gobo - like I said, we haven't done any treatments or changes for Finley since he was diagnosed, and he's doing perfectly fine. Perhaps Gobo has a higher/worse stage of the condition? But good news about no shunt!
Gobo is not symptomatic now, other than the fact I haven't found a food that he has great poops on long-term. I want to keep ahead of it, though. Maybe the biopsy would tell us more about the severity and how heavy we need to go on prevention.

Edit: the PetGuard food does have a little egg in it, but egg is a good protein for this condition, if I remember correctly.
 

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I wonder if Gobo would do as well as Finley with your doing nothing? He is not having any symptoms. Medication always has pros and cons, and if he could get along with none, it would be great!JMO
 

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Discussion Starter #24
Yes, I have thought that too. I need to talk with my vet more. I have been curious about trying a vegetarian diet for Gobo regardless, so I will likely do that, if not put him on Flagyl.


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I'm so sorry the low fat diet didn't work for Gobo. It's frustrating that you have to try things that don't work to get to what does. I googled it, and there are several brands of kibble that advertise vegan. Also, I saw several homemade vegan recipes that looked pretty easy to do. The problem there to me would be if you fed homemade he may not want to eat the kibble if you wanted a break from doing it yourself. Would he stay on the Flagyl constantly or off and on? Also, would he need a probiotic with the Flagyl? Just wondering.
 

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Do you know the specific liver enzyme that was elevated? The reason I ask is that the alkaline phosphotase is a liver enzyme that targets the outside of the liver, and is very sensitive. My chi Emmie has an alkaline phosphotase of 8000mg! The rest of the liver panel is fine. Normal is about 150mg. She has been on phenobarbital for epilepsy for years. See if you can find out----maybe helpful in deciding what to do. (I am a retired medical assistant---thus the questions!)
 

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Discussion Starter #27
Lulu's Mom, I have my own health issues that make kibble the best choice for us now, and I use it in his Treat & Train machine. I have cooked for dogs in the past and enjoyed it, though. Thankfully, Gobo is not picky at all, so switching around doesn't concern me. I think the Flagyl would be all the time, but it is very gentle and spares the good gut bacteria.

Susan, I do not know the name of the elevated enzyme. It is apparently the same one that would be elevated in a person after a night of heavy drinking, if that helps.
 

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Discussion Starter #28
So I just talked to my vet, and the one enzyme is still elevated, but not as much as before. She said it is ALT. The Chem 25 was all good! Since he is not showing clinical signs, I won't do the biopsy. It seems MVD is the assumed diagnosis, so that also makes it seem not worthwhile. We are going to keep an eye on him and re-test his values in a year or two to see if things have changed. Since I have struggled to find a kibble that is just right for Gobo, I asked the vet about what direction I might want to look in for something that might be easier on his liver and perhaps prevent or delay the onset of clinical signs of disease. She is going to do some research and consult with the specialist and another vet in my local practice who is apparently a walking dog food encyclopedia and get back to me. I feel confident this is the right path for now, and that is a good feeling!
 
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