Accepted Answer

Thanks,
XXX XXX and the lymphocytes are the only values that I'm concerned with--everything else looks pretty normal to me. ALT can be high due to a liver shunt (so bile acids would be worthwhile) or if the pups has exposure to any toxins (any plants he likes to chew on? Have you given him any medications?). Intestinal worms can also affect the liver, but if he has been dewormed 3 times or so, he should be fine there.

The lymphocytes can be high in puppies just because they are still developing antibodies from vaccinations and such.

I guess I would look around in the environment for anything your pup could be getting into and recheck the liver and CBC values in a week or two. If the ALT continues to be high or is increasing, then I would do a bile acids test to check liver function.

Hope that helps!

Expert:	vetlori
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Answered:	11/5/2009

Dog Veterinarian

I am a practicing small animal veterinarian with 13 years experience.