A lump has appeared on my dogs lip, should I be concerned about this?

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• Hi Would you recommend vaccinating a cat (7 yo, indoor, no other pets) who has a fatty liver? His ALT has been between 140–180 units for the past 1.5 y, and CHOL ~ 7–8, despite being on a diet and having lost weight (he now weighs about 4.9 kg). He was vaccinated before, but after the liver issue was discovered, we stopped vaccinating him. If the fatty liver persists, would it still be advisable to resume vaccination, or would you recommend avoiding it to prevent additional strain on the liver?

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