[QUOTE=Randi;2495573]I'm so sorry to hear this, Kirsten. It's so hard to watch our babies go downhill. If it's the liver there's something wrong with, it could be painful. I hope you can get a diet for her that will help, but if not, ask about pain medication.

I don't understand why she can't have a blood panel done without anesthesia. Why is that?

If I remember correctly Luna gets very very stressed at the vet. If Kirsten was going to go through with the blood work or a needle aspiration maybe she could be pre-sedated at home.

However, I think Kirsten's vet has a good approach for Luna. Start with the Hepar comp and see if it helps. I didn't look at the links you posted Randi, but hopefully there is good diet information there as well,

Kirsten, is the Hepar comp a type of milk thistle? That is also supposed to help the liver.

Prayers for you and your girl, and I pray she is with you for a long and comfortable time yet.