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Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 19331
Experience:  DVM, Emergency Veterinarian, BS (Physiology)
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I have a 14year large male lab. He eats well and has always

Customer Question

I have a 14year large male lab. He eats well and has always been healthy. He has maintained his weight of 84 pounds.Within the last 3 months his muscle mass has lessoned, including around his cranium. rear legs are a littlle weaker. Yesterday a piece of hair fell out of his neck leaving a two inch bald spot without rash, bite or irritation... just smooth white skin. i have had his blood tested and his liver enzymes were elevated; ALT 140 then amonth later 262, ALP 961, then 1177. ASt was normal . all other blood results also normal except for elevated cholesterol, (437). What do you think may be the cause? ***@******.***
Submitted: 8 months ago.
Category: Dog Veterinary
Expert:  Dr. Gary replied 8 months ago.
Hello. Thanks for the question. It sounds like there is probably some type of chronic liver disease present. That could be cirrhosis, chronic active hepatitis (an auto-immune condition), liver cancer or even something like Cushing's disease. If you want answers, the next step is ultrasound and biopsy of the liver. That should give you a definitive diagnosis. From there, you treat with either antibiotics or steroids or surgery or chemotherapy based on what you find. If nothing else, I would put him on a liver supplement of Denosyl (SAMe). I would give 425 mg once daily. I hope this helps, let me know if you have any other questions.
Expert:  Dr. Gary replied 8 months ago.
Hi Grant,

I'm just following up on our conversation about Jack. How is everything going?

Dr. Gary

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