Recently he is not eating. 3 days back and has a low level of energy. Felfel 14. I did labs and Sheef elevated mild

Dr. Michael Salkin is typing. Please be patient.

I'm sorry to hear about this with Felfel.  Can you upload a copy of all of his test results?  I understand that you might not have a copy at home but Felfel's vet can provide you with a copy that you could upload here as a .pdf file or you can photograph the pages and upload them as images.  I not only review the test results but also note which tests should have been performed but weren't.

His vet can give you a copy.  I'm handicapped by not being able to see all of his test results.

You can force feed Felfel with a gruel of his regular food with a small poultry baster placed between his cheek teeth and cheek.  Ultimately, however, you'll need to find out why he's become anorexic and treat effectively.

Yes; the type of diet is predicated upon the type of liver condition.  I need to know more before recommending a special diet.

Yes, please remain in this conversation rather than opening up a new one.  I'm in the Hawaii time zone.

You're quite welcome.

Thank you.  Give me a moment to take a look, please.

The ALT is not significantly elevated.  The other important liver markers - ALP, albumin, TBIL - couldn't be assessed because the blood was hemolyzed.  Those tests need to be repeated at no cost to you.  No assessment of liver health can be made at this time.

Please continue in this conversation if you wish.

At this time I see no reason for a special diet.  Please give a 14 year old anything he wants to eat.  When I'm his age, don't tell me what I can and can't eat!   Please continue in this conversation if you wish.

Thank you for your kind accept.  I appreciate it. I can't set a follow up in this venue and so please return to our conversation with an update at your convenience.