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Dr. Karing
Dr. Karing, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 429
Experience:  General veterinarian with a special interest in internal medicine and emphasis on individualized care.
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Her precision PSL is elevated but shows no signs of

Customer Question

Her precision PSL is elevated but shows no signs of diarrhea, loss of appetite.
JA: What sort of animal are we talking about?
Customer: Dog sorry
JA: OK. I'll do all I can to help. What is wrong with the dog?
Customer: Did some bloodwork on Saturday and just got the results today. She has Addison's and is atypical. Some of the results are: total protein: 7.6 (5.0-7.4), globulin: 3.7 (1.6-3.6), ALK PHOS: 187 (5-131), precision PSL: 1397 (24-140) platelet count: 527 (170-400), MCV: 53 (58-79, MCH: 18.1 (19-28)
JA: Where does the dog seem to hurt?
Customer: Those are some of the results. She doesn't have loss of appetite, or diarrhea, no vomiting...
JA: Hopefully it didn't make a mess. Did the dog eat anything unusual?
Customer: No, nothing. I was giving her Honest Kitchen food which had 25% protein and 15% fat in it, along with cbd Treatibles that had 6.5% protein and 10.5% fat, and then blueberries and watermelons for treats. I was also giving her coconut oil a tsp a day to treat a hotspot.
JA: OK. The Veterinarian will know what to do. What is the dog's name and age?
Customer: Lily and she is 12 I have stopped the cbd Treatibles and Coconut oil. And switched her food to a 18% protein and 7% fat. I'm not sure what else I should do?
JA: Is there anything else the Veterinarian should be aware of about Treatibles?
Customer: I was giving her the treatibles bc she was having shaking episodes. But we found that as we lowered her Prednisone dose the shaking stopped. It wasn't a seizure and nothing is wrong with her heart. She takes 0.15mg of prednisolone daily for Addison's
Submitted: 4 months ago.
Category: Dog Veterinary
Expert:  Dr. Karing replied 4 months ago.

Hi there,

I'mCustomerand I would be glad to help with your question. Elevated PSL values can be false positives even when they are very high such as above. Therefore, without clinical signs, there no sufficient information to diagnose pancreatitis. Since your dog may be in a higher risk group for pancreatitis since she take prednisone (i.e. even though it is a physiologic amount), then switching to a low fat diet as you've done is prudent. Beyond that, I would not recommend any further diagnostics or cause for concern. If funds are limitless and a vet experienced ultrasound is available, you could image the pancreas for more information. However, that is not something I routinely advise based on an elevated PSL value alone as I see those in otherwise normal healthy patients all the time and false positives on the test are a well documented occurrence.

I hope that the information I provided has been helpful. Please remember to select REPLY TO EXPERT if you have more questions or would like additional information. It is my goal to provide you with the most complete information possible prior to you leaving a feedback rating. If you received all the information you needed, then kindly submit a rating.

Sincerely,

Customer/p>


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Expert:  Dr. Karing replied 4 months ago.
Hi Kristin,
I'm just following up on our conversation about your pet. How is everything going?
Customer
Expert:  Dr. Karing replied 4 months ago.

Hi there,

I wanted to check and make sure you received my response to your question and see if you require any additional information. Please let me know when you have an opportunity.

Thank you,

Customer/p>

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