60.貓脂肪肝的治療主要為營養支持療法，其他有些藥物可用來輔助，何種療法通常不被推薦使用？
(A)止吐劑metoclopramide
(B)輸液療法Lactated Ringer's solution
(C)維生素B12
(D)抗氧化劑S-adenosylmethionine

肝病到底能不能用LR是有爭議的，不過在本題裡面已是最佳解。

"Avoid lactated Ringer's solution (impaired lactate metabolism in severe hepatic lipidosis)"--Clinical Veterinary Advisor: Dogs and Cats 3rd Edition

"Dextrose is avoided because it may worsen hyperglycemia and lactated Ringer's may be contraindicated with marked hepatocellular dysfunction because the lactate may not be metabolized to bicarbonate."--Small Animal Internal Medicine 5th Edition

"Impaired lactate metabolism is suspected in cats with severe hepatic lipidosis, leading some authors to advise against using lactated Ringer's solution (Center, 2005a). Although a theoretical concern, lactated Ringer's solution commonly is used with success by many clinicians."--Kirk's Current Veterinary Therapy XV

"LRS or acetated Ringer's solution may be used in liver disease. LRS contains both D- and L-lactate and is unlikely to increase blood lactate levels (Allen and Holm, 2008)."--2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats