Q. My 11 year old Chihuahua has an ALT level of 220. She's taking 100mg of Sam-e every morning. Is there more I can do to lower it?

A. Recommendations for treatment can only be made following a full exam and with reference to a full past medical history to shed light on exactly why the changes have arisen or any other complicating factors which may be present. Close attention to diet can dramatically reduce the burden of work on the liver and a high anti-oxidant level can help reduce ongoing damage and inflammation. I have had dramatic results in both lab work and patients general health feeding Royal Canin Hepatic or Hills L/D and recommend converting to one of these unless she has any other contra-indicating factors such as a history of pancreatitis

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