My dachshund's ALT liver enzymes have improved dramatically however the ALKP liver enzyme has nearly doubled. She was previously diagnosed with chronic hepatitis, so in my opinion, this is to be expected regardless of dietary needs. Her most recent lab work confirmed slightly high calcium levels and her LIPA levels are tgphriugh the roof. I often ask myself if correlation equals causation. Did her previous diagnosis of chronic hepatitis lead to increased calcium and lipa levels or did royal canin hepatic dig food decrease one enzyme but increased another? Is that the trade off for improved ALT? She's almost 17 years of age, so other senior related factors may at play. She almost just prefers the wet food at this point even though she is offered both wet and dry. I'm not the kind of owner who likes giving a dog wet food, so this is noticeable change. She's been having more accidents and increased thirst. Her sundowners or doggy dementia has also gotten worse. There are so many age related factors at this point in time, but I at least wanted to share her most recent lab work results in case others also notice an increase in calcium or LIPA levels with this dog food. She absolutely loves the taste and flavor. She's gained a bit of weight as well, so I don't know if I should add the low gastrointestinal version of this wet food to her diet. I'm still just trying to make her comfortable at this point. I still believe this dog food is logical financially for small dog breeds but I feel awful fior the larger breeds whose lives literally depend on it. Surely, there is a large enough demand to customize this dog food. I hold my grudge against royal canin as chewy has been nothing but phenomenal. She current takes the wet and dry food, milk thistle, blueberries (smashed), denamarin, and urisdoil. I wish there were stronger and more effective medication options out there, but we also received her diagnosis kind of late in the game. Best of luck to all whose furry companions deal and manage liver disease.

I've tried almost everything to get my dog Chicky to eat anything. Fresh food diet is most often recommended for a pup with a liver shunt. I've fixed her literal buffets of different food choices. Currently, the vet from VCA, gave her Hills brand prescription KD dog food. Currently we're trying to reduce the fresh food and increase the dog food. She's being given Royal Canin Hepatic formula kibble and a small amount of Hills brand prescription KD dog food mixed together. Hopefully she'll begin to like it enough to eat it daily. It's an ongoing struggle.

VCA Aurora Animal Hospital, in IL recommended it as Sophi's 1st RX Food she wasn't eating to well. She has a hard time eating still as the kibble is Large and she only eats 1/2 cup daily, she only weighs 2.4 lbs., she's a Teacup Morkie. The food is Very Expensive too! Would like coupons, have yet to find any. Thank you

I bought this for my toy mini Schnauzer because he gets bladder stones easily and he is three years old and he has had four surgeries so far. It is in his DNA to get these bladder stones. I also have him on distilled water. I’m

My dog absolutely loves it. We switched to this because his other liver food has been on back order for a yeah now so I was cooking for my dog. Now I don’t have to and Tiny immediately loved this food I was so happy.

We are so happy that Petco carried the hepatic dog food in the 7 lbs. Bags. Our vet has been out of stock for months!

My Standard Schnauzer will eat the Hill's canned as long as he has this as well. It actually helps with the cost of his prescription food because for his size he gets a 3/4 cup of this with 3/8 cup of canned twice a day. I do add in steamed vegetables and other appropriate foods for his liver to make it more palatable. He has an enlarged liver and appears fat but it is fluid build up. The vet is hoping this will work so nothing drastic is needed.

My dog would not eat it but she is a picky eater and recovering at the same time which made it really hard to find any food she would eat