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Date: 2018-02-21 14:39

I also want to give some positive remarks and encourage you to see a good vet, as soon as possible. My 69 year old terrier was getting a bit lethargic but I put it off to age. Then she was limping a bit and the local vet found a sore in her foot and put her on some powder to improve it, which it did a bit. But she continued to get more quiet, picky eater. Finally I found her one morning last November, shivering, which my dogs never do unless they are in pain. I rushed her to a specialist, an internist, nearby that I have used before and are VERY good, for tests and an xray. Suggested the liver was abnormal. Very high liver enzymes. So we did a biopsy. It is not that intrusive, as they use a mild sedative and they can reverse it quickly. The results of the biopsy were bad. She had a liver like swiss cheese, very toxic liver. Hepato cutaneous syndrome. I actually was relieved because I had lost two dogs to liver cancer recently and was afraid it might be in the line. But still a serious disease, perhaps caused by something toxic she got in the environment? By now her feet were so sore she would not walk on them, all four involved with rough scaly sores. And some scabbing around her eyes. Specialist recommended IV of Amino Acids flushing the liver. The liver is fortunately one organ that can heal itself if not too far gone. So Katie spent a day at the vet on IVs. It made her nauseous so we had to give her reglan and an ap*censored* stimulant, mirtazapine? (actually an antidepressant that seems to stimulate ap*censored* in dogs) so she would eat. I made all kinds of things to entice her, and had to vary them, but she did eat. Two weeks later she had another day on the IVs. Each time she came home exhausted and very tired, but I kept at it and it only took two treatements in her case. I also consulted a homeopathic vet who prescribed two very good supplements from Standard Process Products, Hepatrophin and Super EFF. I was told adding egg would add amino acids as well, but she would not eat them. I took her off the silamarin as the holistic vet felt it was of minimum help. Finally, after noticing a lot of water consumption and urination the vet put her on baytril for a week or so. That was the final push and she started to get well quickly. Her enzymes are still somewhat elevated, and she does now have very mild diabetes but a small shot of insulin 7x daily is a small price to pay for keeping my girl around for a while. She doesn 8767 t even notice them. Her feet are totally healed and she got a great checkup yesterday at the vet. Her energy is back and she is eating well (tho still picky) so miracles do happen. Your dog can recover with the right treatments. If you would like a referral to my holistic vet, Dr. Chalmers in Santa Rosa,CA let me know. I think she is great, affordable and she treats by phone. And VMS in the Bay Area is in my opinion, the best veterinary practice I 8767 ve ever used. They have treated many of my older dogs and I have nothing but admiration for them. Katie is nearing 65 now, and I know I will eventually lose her, but not today. Not tomorrow. We have a bit more time together. Keep the faith and explore options. Dogs can recover.

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A year ago at Jake 8767 s annual checkup a senior panel was done and his Alk Phos level was elevated at 865. We had follow up 8 and 9 month follow up testing and it was unchanged. No other values were elevated at that time. We had our annual checkup last week and the results of his liver enzyme panel were not good. This time not only was the alk phos elevated to 667 but his ast and alt levels were also elevated, 789 and 687 respectfully. Obviously this was very disheartening as he is clinically asymptomatic. He shows no signs of any problems associated with these results. I immediately got on the internet and started reading to understand more about the potential for liver disease and found your foundation website. I wanted to tap into your experience and knowledge and hopefully get some feedback from you. We have an appointment Monday for xrays. My concern is this is the first time other enzyme levels have been elevated and could this be a fluke or testing error!! I found a round table discussion on this and it suggested repeating the test in 7 to 8 weeks to substantiate the results. I need to have this discussion with my vet and will do so Monday. Another concern is what I am feeding Jake. About six months ago I put him on a raw food diet (Primal). I tried to find info to see if this could be potentiating a liver problem. The only supplements he is on are kelp and a probiotic. I did have him on milk thistle when the initial alk phos level was elevated but only did this for two months. He has been on other nutritional supplements for skin and coat but I stopped those. I forgot he is also on organic coconut oil. There is a local health food store that specializes in dog nutrition and I have been following some of their recommendations for maximizing Jake 8767 s health. Other than this Jake has had occasional ear , skin, and pad issues but for the most part had remained in good health. I might also add we exercise regularly, walking twice a day weather permitting. Needless to say I am quite concerned and any help you can provide would be greatly appreciated. I am considering requesting a consult to see an internal vet specialist. I have some other questions about further testing such as serum bile acid. I might also add that I am in medicine myself and knowing what I know about the human element heightens questions and poses trust issues in the care and treatment of Jake!!! I have had some unpleasant vet experiences and just changed vets so at this point my confidence level is being tested and it scares me Thanks for listening and I look forward to hearing from you.

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