Recheck blood work a few days later after IV ampicillin and empirical treatment for leptospirosis revealed hypoalbuminemia, still elevated but improved hyperphosphatemia, much improved ALT, hyperbilirubinemia, low total protein, worsening leukocytosis, monocytosis, neutrophilia, and low MCHC. Antibiotics were later changed and liver protectants were started. Patient began to deteriorate, had pale mucous membranes, was vomiting, anorexic, and lethargic. Later that evening, patient had developed facial edema and fluid rate was lowered. After 1 week of hospitalization, patient was still icteric, on steroids, Ursodial, antibiotics, two gastroprotectants, liver protectant, antidiarrheal medication, and Denamarin, and was still experiencing intermittent, vomiting, and anorexia. Patient was eventually released with oral meds to be given at home, with the plan to check blood values in 1 week. Recheck blood work revealed hypoalbuminemia, hyperbilirubinemia, extreme hyperphosphatemia (4543), extremely high ALT (1938), high AST, high BUN/Creatinine ratio, hyperamylasemia, high GGTP, anemia, leukocytosis, low RBC, neutrophilia, and monocytosis. Over the next several months liver values slowly improved, but patient developed severe edema in left hind leg. Physical exam found severe pitting edema in the left hind leg and distended abdomen; FNA found ascites. Lasix injection was given and due to chronic liver issues, a guarded prognosis was given. Due to the increasing severity of cellulitis in the left hind leg and unresolved icterus, patient was humanely euthanized.