What role does diet play in dogs with congenital portosystemic shunts?
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“The most critical component for their long-term treatment in dogs with congenital portosystemic shunts is restriction of dietary protein to reduce substrates for ammonia formation by colonic bacteria. Diets for dogs with CPSS should be 15 percent to 20 percent protein on a dry matter basis, readily digestible, high in zinc and vitamin E, and low in manganese.”
-Karen M. Tobias, DVM, MS, DACVS
From Surgery STAT: Congenital portosystemic shunts