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Diet history

A full diet history is one of the first things a liver specialist asks for, and most families can't answer it from memory. Use this form to build one for your own dog: fill in what you know, mark what you don't remember, then print it or send it to your vet.

Researchers are studying whether dietary copper contributes to liver copper buildup, which is why the diet before diagnosis matters most.

Everything you type stays in this browser. Nothing is sent to a server or saved in the cloud, so on a shared computer, use Erase my answers when you finish. Skip any question you can't answer, or tick I don't remember. The export keeps those two apart, because "not answered yet" and "couldn't recall" mean different things.

0 answered · 0 marked don't remember · 32 still blank (of 32)

1. About the dog

Optional. It stays on this device.

Where your dog came from

2. Puppy diet

Brand, exact product name and flavor (beef, chicken, salmon and rice), and the type: canned, kibble, freeze-dried or raw.

In months or years.

3. Adult diets, in order

One row per diet, oldest first. Medical records usually start at diagnosis, so earlier diets need your memory, an online order history, or photos of old bags and cans.

    4. Treats

    Brand and product name if you can. If you can't recall one, look in your pet-store order history, or photograph the package.

      5. Chews and specific products

      Has your dog been fed: desiccated meat or tendon products?
      Has your dog been fed: desiccated liver used as a training reward?
      Has your dog been fed: bully sticks?
      Has your dog been fed: hooves?
      Has your dog been fed: rawhides?

      6. Before the biopsy

      What led to the liver biopsy?
      Was the raised liver enzyme result a surprise?

      For example, found at a routine check, or before anesthesia for dental work or a spay or neuter.

      A short summary is fine.

      7. Water and home

      Are there copper pipes in your home?
      Where does your drinking water come from?

      Researchers can look up local groundwater analyses with this.

      Have you had a water analysis done?
      Do you have a water filter system?
      Electronic scent dispensers at dog level in your home?

      8. Medications and supplements

      If copper was 600 ppm or higher: has your dog had copper-binding (chelation) treatment and a change to a lifelong copper-restricted diet?

      Dietary, vitamin, joint and herbal supplements, and holistic remedies. Include what, for how long, and where you get it.

        Your history

        About the dog

        Dog's name
        Not answered
        Your name
        Not answered
        Dog's age on the biopsy date
        Not answered
        Year you got your dog
        Not answered
        Dog's age when you got them
        Not answered
        Where your dog came from
        Not answered
        State where your dog has lived for the last 6 years
        Not answered
        County
        Not answered

        Puppy diet

        Food fed as a puppy
        Not answered
        How many months was puppy food fed?
        Not answered
        Age when you switched to adult food
        Not answered

        Adult diets, in order

        Each diet, with brand, formula and how long it was fed
        Not answered

        Treats

        Specific treats
        Not answered

        Chews and specific products

        Desiccated meat or tendon products
        Not answered
        Desiccated liver used as a training reward
        Not answered
        Bully sticks
        Not answered
        Hooves
        Not answered
        Rawhides
        Not answered

        Before the biopsy

        What led to the liver biopsy?
        Not answered
        If liver enzymes were raised, did your dog have symptoms?
        Not answered
        Was the raised liver enzyme result a surprise?
        Not answered
        Medical history before the biopsy
        Not answered

        Water and home

        Are there copper pipes in your home?
        Not answered
        Where does your drinking water come from?
        Not answered
        If municipal: city, county and state
        Not answered
        Have you had a water analysis done?
        Not answered
        Do you have a water filter system?
        Not answered
        Filter type
        Not answered
        Electronic scent dispensers at dog level in your home?
        Not answered

        Medications and supplements

        If copper was 600 ppm or higher: has your dog had copper-binding (chelation) treatment and a change to a lifelong copper-restricted diet?
        Not answered
        Heartworm prevention (product, and for how long)
        Not answered
        Flea, tick and parasite prevention (product, and for how long)
        Not answered
        Other medications
        Not answered
        Dietary, vitamin, joint or herbal supplements, and holistic remedies
        Not answered