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Thank you for using Just Answer. My name is Rebecca; I am a veterinarian. Please give me a moment to type my answer.
I am sorry to hear your dog has high liver enzymes. Do you have a copy of the blood test you can post here?I see she is taking Denamarin, a good supplement to try to reduce liver enzymes. Is she on any other medication?Usually with high liver enzymes, I next do an ultrasound of the liver, in hopes of getting a needle biopsy guided by ultrasound. Then you have a diagnosis of whether is is a liver infection, or inflammation, or (sadly in the case of my own dog with high liver enzymes) liver cancer. Once you have a diagnosis, you know the best treatment.If she is vomiting you might consider Pepcid or Prilosec; how much does she weigh?Steroids, antibiotics, and/or a liver medication called ursodiol might be helpful.Please let me know if you have any more questions.
I just would be interested to see how high the liver enzymes were.Galliprant is supposed to be a safer anti inflammatory with liver disease than Rimadyl.I am sorry but I can't make calls for the website; that offer did not come from me!
I would still consider the ultrasound if she were mine (my dog was 13 when she developed high liver enzymes). That is the best way to get a diagnosis, and getting a diagnosis is the way to know what treatment is best.If an ultrasound is not possible, then I usually start these dogs on a combination of Galliprant or prednisone, antibiotics, ursodiol, Denamarin, and vitamin K1. Basically, I treat for every possible treatable liver disease I can.Please let me know if this is helpful and what other questions I can answer. If this is helpful, kindly consider rating my answer so the website knows I am assisting you!
I have not heard back from you. How is she doing? Was my answer helpful and can I answer anything else?