Commercial diet recommendations and follow-up for a large breed puppy with an intrahepatic portosystemic shunt.

A 6-month-old, intact male Great Dane dog fed a veterinary therapeutic liver diet was evaluated after diagnosis of an intrahepatic portosystemic shunt and hind limb angular limb deformity to determine appropriateness of diet. Evaluation of the current diet revealed it to be inadequate to meet the nutrient requirements of a large breed puppy. The dog clinically improved following a change in diet. There was no longer any angular limb deformity and no reported neurological signs. This report highlights the importance of appropriate feeding management during growth and demonstrates that although veterinary therapeutic diets may appear to be an appropriate choice initially, they may not be ideal for growing puppies as a long-term feeding option. Key clinical message: An individual approach is key for nutritional management of complicated canine veterinary medical cases and includes consideration of the patient's life stage requirements when modifying nutrient intake to manage clinical disease.