Portosystemic shunt appears when there is an abnormality of the portal vein which brings the blood to the liver and the . Either way, this is a very small dog. While Yorkies can experience other liver issues, only liver shunt is common in the breed. The Maltese parent may be to blame f. orgoniodysgenesis, which can lead to excessive pressure and sight loss. I n ow know what different sounds of her barks are for. About 17inches. Theres no doubt that the Morkie is a real cutie-pie, but there are some precautions you will want to take. On average, female Yorkshire Terriers live an extra one-and-a-half years compared to males. Accessed Dec. 23, 2019. They can be solid black, white, tan, or a combination of all three. To provide you with the most relevant and helpful information, and understand which A urinalysis might contain crystals or evidence of infection. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. He is 2 and such a joy. The most common signs of liver disease in dogs include gastrointestinal problems, like vomiting and diarrhea, jaundice (when the skin, gums and whites of the eyes look yellow), malaise (a sense of generally feeling unwell and fatigued) and poor appetite. But, if you see or smell and signs of problems, talk to a vet. Proteins are the basic nutrient in your pets meal, however, you have to reduce it a little to manage the liver shunt signs. Weve never looked back! It does like children, but due to its delicate nature, older kids are recommended. According to the University of Tennessee, Yorkshire terriers have a nearly 36 times greater risk of liver shunt development than all other breeds combined. If he isnt sleeping, his favorite game is fetch! As one can imagine, having a shunt or any liver dysfunction is not a good thing as the liver plays an important role in the body. Weight loss. It helps with digestion and blood clotting, and it removes toxins from their system. Also, good. Elastography in chronic liver disease: Modalities, techniques, limitations, and future directions. A common cause of this issue is a strain from collars and leashes and obesity will only make the situation. 3) Brush the teeth and gums. Quite often (there are many exceptions though) if it is over 100 it indicates a liver shunt and if it is over 20 but less than 100 it indicates microvascular dysplasia (small shunting throughout the liver that is managed by diet and supplements). What Are The Reasons For Yorkie Coughing and Gagging? It is better. One look at this fluffy little fellow will have your heart melting and your fingers tapping the keyboard to find one. My brother and sister in law have had Jelly since she was 4 weeks old. Neurological problems, including seizures and temporary blindness, may ensue. I would love to have another Morkie just like my Squirt. Painful but reversible with surgery. Top 3 Best Food For Yorkie With Pancreatitis. Most affected dogs show few clinical signs, and the disease may go undetected until adulthood. Where possible, figure out the cause, such as nasal mites, seeds, or other allergens. This separation anxiety is best controlled by having a person home most of the time or one that can bring the dog with them wherever they go. But it can also be brought on by infection or trauma to the area. That means toxins accumulate in their bodies. Dental hygiene is vital for all dogs to maintain oral health. Other affected breeds include Miniature Dachshunds, Maltese, Miniature Poodles, Shih Tzus, Lhasa Apsos, Cocker Spaniels, and West Highland White Terriers. Louie is a little over a year old. There is little to worry about if they sneeze now and then. In perfect. The downside is that about 50 percent of medically managed dogs are eventually euthanized due to neurological issues. A single copy of these materials may be reprinted for noncommercial personal use only. This post contains affiliate links, and I will be compensated if you make a purchase after clicking on my links. Prolonged fits of sneezing may also cause these little dogs to panic. Jellys become my Psychiatrist Service Dog and has changed my life dramatically. Canine Health Foundation: "Protein-Losing Nephropathy (PLN): An Overview. Some Yorkies might experience vomiting or diarrhea, as well as constant thirst, drinking and peeing.Your Yorkie might not exhibit all of these symptoms -- if he does, he's an obviously sick puppy -- but it's obvious that something is not right with your dog. This content does not have an English version. Your dog's treatment will depend on how soon you catch the problem and what caused it. She is potty trained but I still take her for her daily walks. Morkiescan develop eye problems as they get older, with glaucoma being a big issue. Loss of appetite. Morkiescan develop eye problems as they get older, with glaucoma being a big issue. ", Web DVM: "Ascites (Free Fluid in the Abdomen in Dogs and Cats). All rights reserved. A liver shunt acquired outside of genetics is usually seen as a secondary problem of the liver. We had the surgery to correct the shunt but got a call from the surgeon during surgery saying that the shunt was super small and difficult to close successfully. These sneezes are much like our own and triggered by irritants in the enviro. If you choose a dog park to exercise your Yorkie Maltese, be aware of the other dogs, as a bite or jump on your little guy takes only a moment for a serious injury to occur. My yorkie was diagnosed with having liver shunt I researched like crazy on what I could feed her because everything she . Also, goodportion control and exercise plans will reduce the risk of them becoming overweight. He has been known to chew a face or two off his stuffed toys. Be sure to find the appropriate kibble size. Untreated liver disease may progress to liver failure, a life-threatening condition. Copyright 2023 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. In: Harrison's Principles of Internal Medicine. Hepatic microvascular dysplasia is a congenital defect, meaning that animals are born with this condition. The consent submitted will only be used for data processing originating from this website. Inexperienced dog owners dont always think to clean the ears regularly to remove any waxy build-ups or deal with any discharge or problems. Fever. Both the Maltese and Yorkie are known to be low shedders, which the Morkie will inherit. 2018; doi:10.1097/RMR.0000000000000177. If your dog can't undergo surgery, your vet might prescribe a low protein diet, along with medication that decreases toxin absorption. Acquired shunts typically develop when blood pressure within the veins connecting the digestive tract to the liver becomes elevatedmost often because of diseases that cause liver scarring (cirrhosis). Liver disease often has a cascade effect on other body systems. Changes in the color of your dog's stool can also be. 20th ed. Prolonged fits of sneezing may also cause these little dogs to panic. 1. I hate to hear that your baby is sick I personally don't know anything about yorkie liver disease, but I do know that small breeds such as yorkies are suceptible to liver shunts. Check their eyes for signs of discharge or ill-health during your grooming regime(How often does a Morkie need to be groomed). She lets me know when she have to go to the bathroom by barking. She loves to walk with me and is very good on a leash. Post meal bile acids should be under 15 or 20. Seek advice from your veterinarian whenever you have any concerns. The Maltese parent may be to blame for goniodysgenesis, which can lead to excessive pressure and sight loss. Manage Settings Learn More. Your Yorkie will show disinterest in learning and signs of stunted growth. Nov. 14, 2019. He is a pick pocket, so I have to keep my pockets zipped or empty. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Mayo Clinic Q and A: How to manage symptoms of liver disease. But, if you see or smell and signs of problems, talk to a vet. Crying when kneecap dislocates; Inability to walk; . Additionally, some Yorkies show these signs after getting older or if they had urinary problems such as stones or bladder infections. Often, dogs need to urinate at nighttime (nocturia) or have "accidents." There are many other causes of PU/PD, but kidney disease is one of the most serious concerns. When we went to pick up our first (Bear) we sat down at a picnic table outside the breeders home. They can also advise you on some of the best pro. But,it seems thatMorkiesare more likely to develop problems than other dogs. In addition to reporting for a major newspaper chain, she has been published in "Horse News," "Suburban Classic," "Hoof Beats," "Equine Journal" and other publications. It is caused by low blood sugar, and can result in listlessness, coldness and, in severe episodes, seizures. Accessed Dec. 20, 2019. 2005 - 2023 WebMD LLC. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. I bring her to work daily and my patients love her. Last Updated on January 16, 2022 by Griselda M. If your Yorkie suffers from poor growth, possibly it has a portosystemic shunt (Yorkie liver shunts) which is a liver condition. 2019; doi:10.1002/ncp.10449. [1] This condition, called a portosystemic shunt, can cause serious problems that affect the dog's quality of life and can put its life at risk if it is not treated. Warning! There are different kinds of shunts, but in Maltese the most common form seen is the extrahepatic (outside the liver) shunt. Yorkies that suffer from liver shunt can not metabolism the proteins well causing neurological, systemic, and behavioral symptoms. The Morkie is not hypoallergenic, but they do have hair instead of fur. They are Happy-Go-Lucky, But a Bit Barky, 5. Amazon, the Amazon logo, AmazonSupply, and the AmazonSupply logo are trademarks of Amazon.com, Inc. or its affiliates. He is already super attached and the best little doggie! Signs of the disorder are most noticeable after meals. Liver problems can also be caused by a variety of factors that damage the liver, such as viruses, alcohol use and obesity. Carefully consider all of our information from its temperament to grooming requirements, to exercise and to training. You can help your dog by catching liver disease early and makingsmall changes before it becomes severe. What Is The Best Homemade Food For Yorkies? However, we can look at some of the common issues. Be mindful of what you feed your dog. Five things you should know about dietary supplements for hepatitis C. National Center for Complementary Integrative Health. Clinical signs include lethargy, dementia, stupor, and coma. The condition is thought to have a genetic basis, although this is not fully understood. Fatty foods can hurt their liver. However, be wary when your Yorkie Maltese is around larger breeds as its tiny body can be easily injured. These conditions will often cause sudden illness in otherwise healthy dogs, with elevated liver (and kidney) enzymes on their bloodwork. We and our partners use cookies to Store and/or access information on a device. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Looking for a convenient way to access your pets health records, refill prescriptions, view upcoming appointments and more? Dogs that develop this deformation of the airway can then suffer from a cough and problems breathing. When it came time to settle the bill my wife had forgotten the money in the car. Normally, this shunt closes after delivery, however, if it keeps open, the liver shunt condition develops. Your vet can help you understand some of these conditions a little better and provide the testing and examinations to help. Since this dog is so small, the litter size can range from only two puppies up to five puppies. Your email address will not be published. They may also be anemic (low red blood cell count) or have other abnormalities seen in their blood work results. The more you do now to limit the possibility and provide a healthier lifestyle, the betteryour chances of avoiding the worst health problems. What important questions to ask a dog breeder? . In some cases, your veterinarian may instead recommend a surgical biopsy of the liver. It takes approximately one month for the liver shunt to close using these methods. First of all, if your Morkie is a Teacup, you will have to be extra careful. A smaller food made specifically for toy breeds will prevent a choking hazard and allow your Yorkie Maltese the ability to chew and swallow her food properly. Health testing parents before breeding can reduce the odds of problems in puppies quite drastically. Are Bichon Frise Predisposed to Kidney Problems?. Prolonged sneezing can cause irritation and possible damage to the throat. The most known risk factor for nonalcoholic fatty liver disease (NAFLD) is the metabolic syndrome. . Affected Yorkies show liver shunt signs at a young age. (Endogenous means it comes from inside your dog, not external factors.) If you have any doubts about your Morkies health or need guidance on any other issues, always speak to your vet. Mayo Clinic. This is a list of products that I use or have been recommended and have found to be a great combination of cost and value. There are many types of liver disease, which can be caused by infections, inherited conditions, obesity and misuse of alcohol. include protected health information. Polydipsia (excessive thirst) Diarrhea. The bad news is that ther. Hes learning very quickly how to sit, shake and stay. 3. Hugging it too hard or rolling over onto it in bed can cause injury or even death. Also, watch out if your dog is shaking their head a lot or pawing at their ear which can mean a sign of an inner ear infection. Neurological problems, including seizures and temporary blindness, may ensue. Feldman M, et al. Saunders Elsevier; 2016. https://www.clinicalkey.com. If you have a Morkie, please feel free to share your thoughts and information in the comment section. If I seem to breathe wrong she will stare at me until I say Im ok. Shes incredible smart which surprised me. Accessed Dec. 20, 2019. The good news here is that your little companion is tougher than you might suspect and is likely to live long into double digits with the right care. If you want your Maltese Yorkie mix hair trimmed, its best to have a professional dog groomer do the job, at least until your pup gets used to the clippers, combs, scissors, and procedure. Your vet performs various diagnostic tests in order to confirm a liver shunt. Approach to the patient with liver disease. These concerning signs appear because the liver is less and less able to metabolize protein properly. portion control and exercise plans will reduce the risk of them becoming overweight. Seizures. Shes not a service dog but definitely brings me pleasure. Additionally, some Yorkies show these signs after getting older or if they had urinary problems such as stones or bladder infections. Learn more about The Lifespan Of A Yorkshire Terrier And How To Extend It? Elsevier; 2020. https://www.clinicalkey.com. This is a liver enzyme and if it's 2 to 3 times the normal range, Cushing's disease is often pegged as the likely problem. Dogs can end up with too much waste product in their brain, leading to reduced cognitive function. The Lifespan Of A Yorkshire Terrier And How To Extend It? She will soon be 13. On the other hand, the liver shunt of large breeds is present inside the liver (intrahepatic). Signs of the portosystemic shunt are; Poor growth Vomiting Diarrhea Appetite loss Mymorkie.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Dogs can end up with too much waste product in their brain, leading to reduced cognitive function. This results in the production of decreased quantities of protein breakdown products that contribute to the signs of hepatic encephalopathy. In the majority of cases, a liver shunt is caused by a birth defect called a congenital portosystemic shunt. Examples of autoimmune liver diseases include: An abnormal gene inherited from one or both of your parents can cause various substances to build up in your liver, resulting in liver damage. The Morkie will need to be brushed several times a week to prevent the hair from tangling or developing mats. But you may want to rethink that when you feel like giving this cute little furball a tight hug or if you plan on sleeping with it in your bed or couch. A little wax and dirt are healthy, just like with o. ur own ears. If the puppy went under anesthesia, it may take a long time to recover. 10th ed. When your Yorkie undergoes surgery to repair the shunt, the surgeon closes off the bypassing blood vessel, forcing the blood flow back into the liver. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Furthermore, proteins including meats, organ meats, or fish are examples of proteins that you should reduce. Sometimes it's genetic. privacy practices. An example of data being processed may be a unique identifier stored in a cookie. Its been a lot of fun caring and learning about our new puppy but we definitely have had our share of growing pains along the way. Infectious hepatitis can be caused by viruses and bacteria. The portosystemic shunt can be corrected surgically, however, there are some medications that can stabilize the Yorkie. This will provide your pup with the required nutrients for growth, health and a beautiful coat, as well as protect its teeth from plaque and tartar buildup. Its not only her size. He loves all people. The McGraw-Hill Companies; 2018. https://accessmedicine.mhmedical.com. It is common in toy breeds like Yorkshire Terriers. Affected dogs may exhibit increased thirst and urination, straining to urinate, or blood in the urine. Second, early socialization of your puppy is key to having a happy dog versus a shy and frightened one. To know how this happens, please, read till the end.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'ouryorkie_com-medrectangle-3','ezslot_0',113,'0','0'])};__ez_fad_position('div-gpt-ad-ouryorkie_com-medrectangle-3-0'); The liver shunt is a Yorkie liver disease in which your puppy develops an abnormal shunt. information and will only use or disclose that information as set forth in our notice of Seek immediate medical attention if you have abdominal pain that is so severe that you can't stay still. Early treatment can help heal the damage and prevent liver failure. According to this study, soy protein is a successful protein alternative for dogs with liver shunts as it supports liver functions. She is a love!! How Does The Vet Diagnose Yorkie Liver Shunts? The liver shunt of small breeds including Yorkies is extrahepatic. Some canines also experience seizures. Myself, Ive had her for 9 months, rehomed from my brothers family now that all the kids have grown up, graduated from college and moved out. So Adorable, Youll Want to Snuggle One Up! They may also want to take a biopsy -- remove a small tissue sample for testing. He requires quite a bit of exercise. I just place her in her bag and everyone loves seeing her at the stores. Log in 24/7 to access your pets health care information. Accessed Dec. 23, 2019. Here are some fun facts about the Morkie that you will want to know: The Morkie is a designer dog that is a mix of the Maltese and Yorkshire Terrier. I have spent plenty of time sewing them back up. Most Common Yorkie health Issues and Problems. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Your vet can help you understand some of these conditions a little better and provide the testing and examinations to help. Signs of Liver Disease in Dogs. Some Yorktese dogs tend to bark too much. Dogs with acquired liver shunts tend to experience symptoms when they are older in comparison to those diagnosed with congenital shunts. How do I train this adorable mutt? Dogs with hepatic encephalopathy often show behavioral changes, such as head-pressing, abnormal vocalization, and ataxia (acting wobbly, as if drunk). Liver disease is a distinct . Are you also aware and prepared for the health issues that this fido may have? This vein brings the blood to the liver and cleaning it. Only their personality is large and trust us, that'll do! There is no guarantee that your pet will develop these conditions. There are many charts and feeding guidelines on the internet for each individual breed. Hernias: the digestive organs protruding due to the incomplete development of the muscles in the abdominal wall. There is a problem with Even though the Morkie is considered a Toy breed, it will still need a certain amount of exercise and play each day. But,it is still very important to prioritize eye health. This goes for small breeds in general. It is more accurate (95 to 100%) if an ammonia challenge is done, where the puppy is given ammonia by enema or by mouth and the blood is tested to see if the liver clears the ammonia. According to a study published in the journal of the American veterinary medical association, surgical treatment of liver shunt is more successful than medical treatment. The Morkie is the Best Senior Friendly dog you could have,they are good around kids as well,but little kids who tend to want to grab at pinch,or pull ears,Not so much,Morkie are easily injured by such things,and when made scared& made nervous they will lash out ! I dont want to lose her but I know in a few years she will be gone. WebMD does not provide medical advice, diagnosis or treatment. Due to this atrophy and decreased blood flow, the liver is less capable of processing toxins or producing proteins needed for growth and development. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Morkies can be hurt by very young children since they are small dogs. The liver shunt is a disease that is bad and can take away the joy from your Yorkie. Dogs that develop this deformation of the airway can then suffer from a cough and problems breathing. It is the result of a metabolic disorder. A mild elevation in liver enzymes can be a sign of many things like dental disease, intestinal disease, general inflammation, as well as liver disease of course. Fortunately, most Yorkies respond well to surgery correcting this congenital issue. All rights reserved. He runs around playing and is ALWAYS underfoot! On average you'll be able to pay around $800 at a minimum for a Morkie. False Positive Tests She is very silly! health information, we will treat all of that information as protected health Alcohol and public health: Frequently asked questions. The clinical signs of hepatic microvascular dysplasia vary significantly. This price range is expected in some crossbreeds, and its up to you if this rundown of facts about Morkies is something you can tolerate. You can serve it to your pet as soon as it is thoroughly mixed. Louie spent an hour barking at the lawn mower in the garage today. Posts: 7,149. The best doggy daycare & boarding kennels near you! Hes sleeping on my lap right now. They can struggle to maintain blood sugar levels. Once your pooch has packed on those extra pounds, it puts her at risk of other Morkie health issues such as slipped knees and even hypoglycemia (diabetes). Dogs with asymptomatic microvascular dysplasia do not require any treatment. Your dog will stay in the veterinary hospital for a few days after surgery for recuperation and observation. The disease can be life-threatening for Yorkshire Terriers unless treated early. Yorkies that suffer from liver shunt can not metabolism the proteins well causing neurological, systemic, and behavioral symptoms. Morkie Cons Maltese Yorkie mix dogs bark too much. My boyfriend named her Squirt because we I first got her she used to make small amounts of pee in the house. They can struggle to maintain blood sugar levels. The Morkie usually weighs between 4 and 8 pounds and is generally 6 to 8 inches tall at the withers. Mundi MS, et al. 1. AskMayoExpert. As with any dog, there can be health issues involved. She is the absolute best breed Ive ever had minus the barking . Mayo Clinic. She is an indoor only. There is no guarantee that your pet will develop these conditions. e are some genetic traits and health care implications that come from crossing a Maltese with a Yorkshire Terrier. Ioves everyone but my daughter. If you noticed any of the previous signs, visit the vet at once. He may show signs of muscle twitching, stiff joints, tongue chewing, drooling, or oozing foam out of the mouth. Signs of chronic kidney disease in dogs: One of the earliest signs of kidney disease in dogs is urinating and drinking more (polyuria/polydipsia or PU/PD). Why is she bigger than the average morkie? She is strong, sturdy and in perfect health per doctor vist in 04/2022. A little wax and dirt are healthy, just like with our own ears. Shes the biggest joy in my life and my very true companion and furry forever best friend!!! It isnt possible to predict precisely what health issues your belovedMorkiemay face. Topics in Magnetic Resonance Imaging. This biopsy may be performed at the same time as the ultrasound, using the ultrasound to guide an instrument into the abdomen to obtain a sample. About the size of a football, it's located mainly in the upper right portion of your abdomen, beneath the diaphragm and above your stomach. https://www.cdc.gov/alcohol/faqs.htm. Northeast Ohio 216.444.7000. Yes, it does tend to have a stubborn side, but that only makes pet parenting a Morkie all that more fun. For further questions, please leave them in the comments below.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[320,50],'ouryorkie_com-large-mobile-banner-1','ezslot_11',116,'0','0'])};__ez_fad_position('div-gpt-ad-ouryorkie_com-large-mobile-banner-1-0'); Learn more about Yorkie Skin Disease Signs And Treatment. The liver shunt develops either congenitally or acquired though it is usually congenital in Yorkies. Sometimes, Yorkie seizures and vomiting go hand in hand. Your vet conducts an ultrasound, computer axial tomography or magnetic resonance imaging scan to make a definite diagnosis. The symptoms range from behavioral changes to loss of appetite. Goldman L, et al., eds. In this video we will talk about liver problems in dogs and puppies, Visit http://www.shorkieworld.com for the BEST Shorkie puppies in the world. While compared to us humans this obviously isn't exceptionally long, however, in the United States the average age of the dog sits is . Some diseases and medications can hurt your dog's liver. Blood in their pee or poop. If your dog is genetically predisposed to this condition then there isnt too much that you can do to prevent it. Ammonia level is another common test to perform. University of Tennesse: Portosystemic Shunts, Pet Care Veterinary Hospital: Your Yorkshire Terrier, Veterinary Partner: Portosystemic Shunt (PSS), Vetstreet: What You Need to Know About Yorkshire Terrier Health. If your dog is genetically predisposed to this condition then there isnt too much that you can do to prevent it. Liver disease doesn't always cause noticeable signs and symptoms. The vet gave it her best try. She loves her cage but loves to cuddle up to me when I go to sleep. The progression of liver disease. In affected dogs, the microscopic blood vessels within the liver are underdeveloped or absent. The last bloodwork taken last week showed significant elevations of the ALT number (911) along with an AST of 76 and Alk Phosphatase of 470. . But, what about the otherMorkiehealthissues that we need to consider? AskMayoExpert. He has a somewhat bullish attitude towards other dogs and ups and prime deliveries. The coat of the Maltese Yorkie is a beautiful blend of its genetics, being soft and slightly longer. 26th ed. In Yorkies affected by liver shunt, this closure doesn't occur and their blood doesn't filter through the liver. Thus, the unfiltered blood goes with its toxins to the blood circulation again. Boredom or being left alone frequently can cause this companion dog vocalize his or her feelings through barking. When the liver isn't functioning as it should be . The big difference in potential size depends on which breed your Morkie puppy takes up after- Maltese or Yorkshire Terrier. You will also want to bathe your canine companion once-a-month with a high-quality doggy shampoo and conditioner. Teacup Yorkie puppies are very cute, but are they healthy and happy? By
Accessed Dec. 23, 2019. This little dog is perfect for seniors and would even make a. She is picky about treats. They are also prone to liver shunts, luxating patellas, and Legg-Calv-Perthes diseasea degenerative disease of the femoral head. Be aware that health risks can increase with teacup Morkies. Moreover, you can use some other protein alternatives, for instance, egg, dairy, and soy protein. Toy breeds are often prone to poor temperature regulation and injury through rough treatments. He loves everyone and everyone loves him. ssue is a strain from collars and leashes and obesity will only make the situation. This process produces ammonia, which is eventually excreted in the urine as urea. Antibiotics, other medications, and dietary control are primary treatment options.