My puppy is on Royal Canin medium dog food and has been since she was a pup.

As for the China issue, there is only one thing she gets that has anything to do with China. That is a huge rawhide chew bone that is over two feet long, and a few inches thick. It's the only chewing item that she will actively chew and that will last long enough to be cost effective.

I know these bones aren't causing the issues because her liver values were slightly elevated when she was spayed at around 5 months. That's when we first noticed the issue. I say the bones cannot be the cause because she only got her first one about 3 weeks after the spay, so the values were going up before she ever came into contact with China-made items.

Thank you for your input and concern though.