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Comparison of diet, lactulose, and metronidazole combinations in the control of pre‐surgical clinical signs in dogs with congenital extrahepatic portosystemic shunts

G. Serrano, N. Devriendt, H. de Rooster and D. Paepe | Journal of Veterinary Internal Medicine | July 2022
The aim of this randomised clinical trial was to compare the effect of a hepatic supportive diet (HSD), HSD and lactulose, or HSD and metronidazole, on clinical signs and fasting ammonia (FA) and C-reactive protein (CRP) concentrations in dogs recently diagnosed with a congenital extrahepatic portosystemic shunt (cEHPSS)…