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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 27415
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My golden retriever Quinn, 90 lbs, takes 1.9 Adequan every 2

Customer Question

my golden retriever Quinn, 90 lbs, takes 1.9 Adequan every 2 wks. CBC shows ALP at 182. She takes nothing else except 0.6 thyro tabs BID since april. She also shows high reticulocytes 127. Could the Adequan be causing these results. She is due for IM today, 1.9 ml. Should I still?
Submitted: 9 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 9 months ago.

The ALP doesn't become significantly elevated until it's 3-4X high normal - usually 270-360 on most machines. Older and asymptomatic dogs often have elevated ALP for reasons unknown. The absolute reticulocyte count is the most accurate assessment of the degree of regeneration of red blood cells. If Quinn isn't anemic and doesn't need to produce more than a normal number of new red blood cells (reticulocytes), the reticulocyte count has little meaning. If she were anemic, a 127,000/uL absolute count would indicate slight regeneration. Because she's not anemic, it indicates a normal number of these young red blood cells.

Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 9 months ago.
Hi,

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

Dr. Michael Salkin

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