Q. My cat has pancreatitis, given low fat food, and seemed to improve at home, but her levels almost tripled. I am extremely concerned. Explanation?

A. Unfortunately pancreatitis in cats can be very difficult to manage. They seem to get suddenly worse with no real change in anything, and occasionally their indicators get worse even though they seem to be fine. It's important not to use only amylase and lipase to judge the severity of pancreatitis in cats. Your vet should be submitting blood work to Texas A&M, where they can run more sensitive tests that are helpful in monitoring pancreatitis. One very important benefit of using this lab is that they will test B12 levels (cobalamin) as well, and I find that many cats with pancreatitis improve with B12 supplementation.

If you would like to discuss more specifics about what has been done for your cat I'd be happy to consult with you on it.

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