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Good Morning and welcome! I am Dr. Loretta, a licensed veterinarian and I am happy to answer your question.
These symptoms of shaking, twitching, trembling and hunched appearaance usually indicates a neurologic issue which could be due to the elevated liver enzymes since signs of liver disease can show as neurologic signs. Also, this hunched appearance could also indicate a partial rupture of a disc in your guys back and this will interfere with the nerve supply by compressing the parts of teh spinal cord. For your guy, it is important that an Ultrasound be done on your guys liver and surrounding organs since cancer is a possibility, even though your guy is still young. I would also make sure that a thorough neurologic exam be performed and possibly a spinal tap since an Encephalitis could cause these types of symptoms. Something is very wrong with your guy and you are being an excellent advocate for your sweet guy. I am relieved that you are seeing an internal medicine specialist since they will have the diagnostics available to them to find the actual cause for your guys distress.Does that make sense to you?
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