Old German Shepherd with chronic diarrhea, polyphagia, and severe weight loss
12 year old mn German Shepherd with BCS=3/9, perianal fistula, 30lb weight loss over 1 year despite good appetite, chronic diarrhea Chemistry profile shows ALB=2.3. CBC was not done RDVM began treatment with cephalexin and cyclosporine/ketoconazole-ALB improved slightly but continued weight loss persists