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This is Dr. KV. I would like to help with Tru. Please give me a moment as I type a reply...
Young large breed dogs can have elevated phosphorus levels as a result of growth, so this may not be a concern.
Tell me about the cysts on her back....does she scratch them? Do they seem painful?
These "cysts" could be contributing to the elevated white blood cell count. If cysts are inflamed, dogs are often prescribed antibiotics and anti-inflammatories. Has your vet given Tru any medications?