Always wanted to add this: Hyperlipidemia refers to the elevation in blood lipids (fats) and is fairly common in dogs. After a dog eats a meal, triglycerides and cholesterol levels rise in the blood and then come back down to normal levels again within 3-10 hours. However, in hyperlipidemia, fat levels remain high for over 12 hours. Even in us humans if you test trigs before fasting it would be sky high after a meal. Do you have him on Rx because of high Trigs? If his trigs are normal after fasting maybe he just needs a 4 or 5* kibble . Like I said my dogs always did great with Fromm. My chihuahua is 16. I recently switched my other two to freeze dried Primal. Maybe a little boiled chicken/carrots/stringbeans to get his appetite going. If he’s shaking he just might be in pain though. Hope this helps.
