Hi Losul
Several things
The bloodwork is exactly where I would expect it to be and the most important thing is those liver enzymes. He should have no problem with treatment, since his liver function is normal.
I can’t find the thread that I’m looking for on another site, but the consensus was that you should wait 3 days after ivermectin to start milk thistle, no opinion on others because it was specifically a thread about using ivermectin that turned into a thread about using milk thistle.
The heartworm infection still could have occured before you got Turbo depending on when the heartworm tests actually took place and what kind of tests they were.
The load should be light because you/your vet are seeing no other signs. Ultrasound would certainly be more diagnostic as far as being able to see the worms and whether they are causing a heart murmur(if your vet didn’t hear one), enlarging of one side of the heart, filling the pulmonary artery, etc. only if they have high quality, up to date equipment and are good at interpreting what they see.
If the xray looks normal, then I probably wouldn’t do an ultrasound, and I would assume a light load of worms. But if the xray showed any changes, I would want the ultrasound too.
