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Hello. Thanks for the question.
The prognosis here really depends on what is causing the elevated liver enzymes. That can be one of many things. It could be treatable and curable, like an infectious hepatitis. It could be an auto-immune disease that is manageable for a long time, like chronic active hepatitis (CAH). It could also be something terminal, like cancer. The way we find out what is going on, is by doing a liver biopsy. This is done with a local or general anesthetic and ultrasound guidance. That would be my recommendation here.
Hopefully it ends up being something treatable and curable. I usually start these dogs on a couple antibiotics (Clavamox + Metronidazole), a liver supplement (Denosyl/ SAMe) and sometimes a med to help with bile flow (Ursodiol/ Actigal). This is along with IV fluids and other supportive care. I do this while I await biopsy results. Once i have the results I may stop or start other treatment depending on what it is.
I hope this helps, let me know if you have any other questions.