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My 10.5 month old 3.6 lb toy poodle was just diagnosed with hepatic microvascular dysplasia.
If anyone dealing with this and can recommend a diet and be able to give me any advise.
I would greatly appreciate it.
I am dealing with a nutritionist but my puppy will not eat any of the food she recommended.

So, if anyone knows of a nutritionist that is familiar with this disorder and/or a internist on Long Island NY I would appreciate the recommendation.
Thank you
 

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Poppy has liver failure - different cause but similar management. She is on Royal Canin Hepatic canned food, with lean cooked chicken breast for the additional protein she requires. In addition to the drugs she needs has one small Denamarin tablet daily (SAMe and other supplements), and I have found the Pro-Texin Enterogenic sachets helpful for managing diarrhoea.

When she was first ill she refused the canned food and I cooked for her, using a recipe I worked out based on oats and chicken. With the addition of a B+E vitamin supplement it covers most of the bases as a temporary solution, but I have no qualifications in veterinary nutrition so it is purely based on my own research, and the need to keep Poppy eating when she refused the commercial food. If you would like a copy I can PM you.
 
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Elroy: Standard Poodle, Born 02/20/21
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Welcome to the forum. So sorry to hear about your pup. I can't help other than to pray things work out.
To help others (here on PF) help you, you may want to let us know what your pup has been eating (and how much), and what your vet has recommended (that he/she won't eat). Also any info on treats or any other food intake may be helpful.
You should also contact your breeder as a quick Google search suggests this is a hereditary condition.
 

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Discussion Starter · #4 ·
Thank you so much.
Sorry to hear about Poppy.
If you don't mind I will take your recipe from you.
The nutritionist I a working with is from VCA Weymouth.
Her home cooked food is egg based with either sweet potato or rice, flaxseed oil and Balance It supplement.
She says without the supplement the home cooking does not have the nutrients for a puppy.
The dry foods she recommended is royal canin veterinary diet vegetarian; purina pro plan veterinary diet HA vegetarian or Hills prescription diet Derm complete.
Canned she recommends as toppers only Royal canin veterinary vegetarian and Hills prescription diet germ complete.
My pups hates all of it. The cooked food, dry & canned.
She was eating the farmers dog.
The nutritionist wants her on vegetarian diet with eggs, cottage cheese.
She took her off all chews except CET dental chews which isn't really a chew she eats it in 5 minutes.
It is extremely difficult. She also recommended Whimzees in XXS but the company only makes XS and does not recommend them for dogs under 5 lbs.
As for the breeder, I am waiting for her protein C test to come back.
She has had a liver bile tests and ultrasound.
I have had issues with my puppy since I got her from a reputable breeder.
She is a resource terrible guarder and can be aggressive at times. When I told this to the breeder he told me it was my fault. Now I know the aggression can be from the build up of ammonia that crosses the blood/brain barrier. She can still be aggressive at times.
The resource guarding is just her nature.
My vet told me that she had loose patellas when I got her and my breeder said that my vet whom I am with for 30 years was to rough and did not know how to treat little dogs.
My pup had to have locating patella surgery in June. Her knee went completely out.
So I have an adorable 10.5 month old puppy that we love but has a lot of issues. It has been a tough road.
She is my 5th dog, I am not a new dog owner. I had lost my last beloved little dog last August.
So I am reluctant to contact my breeder.
He had not been helpful, but my vet wants me to send him the records if her surgery and result of the hepatic microvascular dysplasia.
Any advise is greatly appreciated.
 

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I am sorry to hear that your pup is experiencing so many problems. Obviously no one would choose to have a puppy who is so challenging, but you are clearly a good soul in working to get things on a better path. I am not very fgamiliar with what should be done to deal with your puppy's liver condition, but can only say that being on Long Island (me too) we are fortunate to have lots of specialists in many areas of pet care we can resource from. I think I would ask my regular vet for recommendations for the best specialist they think would give the help you need. I wish you success.
 

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My recipe uses chicken, as Poppy does not have problems with ammonia, so it may not be suitable for your puppy. I tried Quark in addition to the other protein sources your nutritionist suggests, but Pop wasn't keen.

The recipe is basically 6oz/170g raw porridge oats cooked with 1oz/30g of chicken meat, plus two cooked medium eggs. Poppy was only eating tiny amounts at that stage, so I avoided adding vegetables, but would do so if I was looking to cook for her long term. That gives about 800kcal , from which you can work out how much per day - I batch cooked the oats and chicken, froze it in small portions, and added chopped cooked egg as I served it. The recipe is a little low in potassium, and significantly low in copper and Vit A, which was not a problem for Poppy. It's also low in vitamins B and E, for which I used Vetzyme B+E tablets. The BalanceIt should take care of all that, though. Even a very little chicken breast makes things palatable for Poppy - might be worth asking your nutritionist about it. It produces much less ammonia than beef and organ meats, so may be less of a problem. A pinch of grated cheese can also make food smell more interesting, if that is allowed.

The same oat and chicken mix, with the eggs added raw, can be spread out thinly and baked into very acceptable dog treats, or so both Poppy and Sophy tell me! Very useful when you are out and about at a mealtime.

I found this article DogAware.com Health: Liver Disease in Dogs very helpful when trying to wrap my mind around it all.
 
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I just made them a little thicker!
 

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I assume the BalanceIt will also take care of calcium - getting that right is important, especially for a puppy. Other chews to try would include dehydrated sweet potato - they are available commercially, but it might be safer to make your own to avoid any unwanted additives. The Enterogenic sachets are chicken flavoured but don't contain chicken, and with a dash of water make a tasty gravy - might be worth trying as an alternative to the pre-/pro-biotic you are already using. If she likes the taste a dusting on the sweet potato might also make them more acceptable.

It is hard work finding the right combination of foods that they both like and that won't make the disorder worse - I have a cat with CKD and they are notorious for going off every brand of renal food on the market, and there is far more choice than there is of hepatic diets. But with dogs once you find something acceptable they are usually OK with it long term, so it is more than worth persevering.

When Poppy decided it was the hepatic diet that was making her feel ill and refused it I fed her home made for a week or two then started offering her a small dish of each food, side by side. I didn't force it, but it only took a few days for her to decide it was edible after all.
 
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