An Older Dog With Elevated ALT Liver Values [Case Communication]

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An Older Dog With Elevated ALT Liver Values

Private information redacted.

Case: An older dog was tested for liver function and condition and received some values which were elevated. In particular, the ALT was elevated and that has specific ramifications. We talked about the dog taking Ursodiol which has significant hepato-protective effects and may heal damaged livers. Diet was also discussed. Including raw diet feeding described in this article. To wit:

Dr Johnson:

“Well, on the further testing thing, that’s up to ya’ll There’s just no ‘easy’ test to illuminate an elevation in ALT, and he’s clinically strong. Without anything else on the bloodwork of concern. So that would be the reason I’d downplay it.

Testing repeated: Kind of ya’ll’s call too. I’d be curious in a month on Urso and with that span of time between his GI Ulcer issue and then – maybe things get MORE normal? Less normal? ”
Checking in a week would be academic – and if his numbers are changing on the 7 day basis I’d be surprised. But over a month it’s enough time I suppose, to see a trend. If you went 5-6 weeks, it’s all the same, really.
It has to do with how hard we even COULD chock the wheels on changes in ALT.

Nutrition.

Is the underpinning of all health.
Within the limitations of matter, and the precision of genetics.
But.
There are people (who are currently regarded as 100% heretical) who believe that *raw-diet-nutrition* is King.
I see the research <johnsonvet.com/notes-and-scribbles-re-raw-diet-research-2019/>and the way it fits into the real-life cases. (*Case I <johnsonvet.com/lunas-microbiome-report-from-animalbiome-com/>*)
And there’s a LOT to know about it. (Free online 191 page book <johnsonvet.com/rawdiet2019/>)
And I took the time to calculate to the calorie <johnsonvet.com/some-resources-i-will-use-for-raw-diet-research-2019/> and amino-acid how to make a balanced raw diet. To the ounce. Here’s the diet based on Flank Steak <johnsonvet.com/wp-content/uploads/2019/04/RawDiet2019_XLS_III_flank_steak.pdf> and Here’s the diet on Beef heart <johnsonvet.com/wp-content/uploads/2019/04/RawDiet2019_XLS.pdf>(Beef heart can be had at Mexican and Asian markets)
*Nutritional analysis <johnsonvet.com/wp-content/uploads/2019/04/Nutrition_Labels_For_Raw_Diet_2019.pdf>* on all diet components in the above

Some people would say that a dog eating raw food would be healthier and there’s evidence that supports that. But it’s a bloody business to get into. Not ‘easy’ feeding. Diarrhea could be a consequence, or not. Every dog’s different.

Thoughts?
Doc Johnson

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Dr Erik Johnson

Dr Erik Johnson is a Marietta, Georgia Veterinarian with a practice in small animal medicine. He graduated from University of Georgia with his Doctorate in 1991. Dr Johnson is the author of several texts on Koi and Pond Fish Health and Disease as well as numerous articles on dog and cat health topics.