Patient remained hospitalized on fluids for several days and generally did well, but did develop some diarrhea. Recheck chemistry revealed hyperglycemia, hypoalbuminemia, hyperphosphatemia, significantly improved ALT, normalized AST, and hypocalcemia. CBC found thrombocytopenia. Recheck exam following 6 days on fluids found patient BAR, having normal stools, and a good appetite. Blood work still showed hyperglycemia, low BUN, hypoalbuminemia, hyperbilirubinemia, hyperphosphatemia, more improved ALT, and hypocalcemia. Patient was discharged with antibiotics and anti-diarrheal medication. Less than 1 month later patient had been doing well, was hyperglycemic, and owner reported dog had vomited a few times. Several months later patient presented for vomiting and lethargy. Physical exam was unremarkable. Blood chemistry revealed hyperglycemia, hyperbilirubinemia, hyperphosphatemia, high ALT, high AST, and hypercholesterolemia. CBC found low hematocrit and thrombocytopenia. Patient was sent home with liver protectant, antibiotics, and anti-emetic medication. Upon recheck exam 4 days later, patient was anorexic and a grade III/VI murmur was asculted. Patient was admitted for fluid therapy and recheck ultrasound. At recheck ultrasound, the gallbladder was very large and filled with stones and sludge. Cholecystectomy was recommended. After few days on fluids, patient was discharged with liver protectants and antibiotics. Follow-up exam approximately 2 months later found patient doing well on liver protectants. Aside from chronic hyperphosphatemia, all other liver enzymes had normalized, and CBC was within normal limits. Patient continued to do well with oral medications until presenting for trouble with right hind leg. Physical exam found a grade III/VI systolic heart murmur and pain on extension and rotation of right stifle. Patient was discharged on a course of NSAIDS and liver protectants. One week later patient presented on emergency at referral hospital for not doing well and was euthanized.