John Popp
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We didn't do any testing this time, although his liver values have been in a normal range for a while now and since we got his lowered protein diet under control. The bigger thing is the ammonia levels, which are extremely fragile. Dooley has always provided good fasting numbers, and there really isn't any good data on what postprandial numbers should be. There is only one postprandial study out there from Sao Palo, using 25 shelter cats and using the statistical data provided, Dooley would fall in the upper range of the middle 70%. Those are medicated results, and I am sure he is doing better with his current regimen.
On an earlier call with Dr. Center from my regular vet, she didn't place much credence in postprandial numbers. She believed the best path was preprandial ammonia levels and observation of any postprandial neurological distress. Since the summer of 2016, Dooley has not presented any neurological signs of ammonia toxicity. He does have some minimal tremors in his front legs as a result of the Keppra, but it is in no way tied to his intake of protein or ammonia levels, which reminds me I don't know that I made that clear to Dr. Center.
So that's the long answer, but the short answer is his liver values are good, lol!
On an earlier call with Dr. Center from my regular vet, she didn't place much credence in postprandial numbers. She believed the best path was preprandial ammonia levels and observation of any postprandial neurological distress. Since the summer of 2016, Dooley has not presented any neurological signs of ammonia toxicity. He does have some minimal tremors in his front legs as a result of the Keppra, but it is in no way tied to his intake of protein or ammonia levels, which reminds me I don't know that I made that clear to Dr. Center.
So that's the long answer, but the short answer is his liver values are good, lol!