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That's actually a great question, which I asked my vet! Marvin actually had an ultrasound and a scoping where they took a biopsy of his stomach and intestines - this is the DEFINITIVE way to diagnose IBD and the tissue is actually tested. I think many times it is diagnosed from chronic vomiting and/or diarrhea, which, Marvin had NEITHER of.
My vet (this is actually a specialist, not my regular vet) said that his tissue was inflamed and tested positive, and that while he didn't have the vomiting and diarrhea now, left unmanaged (by diet) he would eventually get it. By putting him on this restrictive diet now (which he LOVES, by the way), it will supposedly curb it from getting worse... we'll see!
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