May 31, 2018 – My almost 12-year-old Rat Terrier mix “Puppy” had a full blood panel (Thyroid, CBC, Superchemistry profile) done. All liver levels were significantly elevated, especially the ALT , which is liver cell-specific (AST 190 IU/L, ALT 2225 IU/L, Alk. Phos. 475 IU/L, GGT 33 IU/L) and her Lipase was 162 U/L.
Started her immediately on Dr. Dodds’ Liver Cleansing diet and RX HepatoSupport by Rx Vitamins for Pets.
Shortly after the results came back, we had an ultrasound done which showed a thickening of the bowels, indicating inflammatory bowel disease (IBD), although her liver size and architecture looked fine.
During the beginning of her illness Puppy also had a seizure and also needed a Fresh-frozen plasma (FFP) transfusion (she ended up having a total of 2 transfusions for her very low albumin level). She dropped from 16 pounds to 13 pounds.
We went on an even stricter white fish and veggie diet. We switch between Mahi Mahi, Tilapia, Cod, Halibut and very occasionally Tuna (only as a treat). We stay with Green Beans, Peas and Carrots, Lima Beans, mixed veggies, zucchini and spinach. She also gets a little bit of a low fat, grain-free kibble once a day with her fish and veggies. She only gets 3 mini Fruitables low calorie treats a day.
She gets Rx HepatoSupport BID, a Chinese Tea Pill to promote liver function BID, Cisapride for the thickening intestinal BID and ursodial SID. Every week she also gets Ozone Therapy to help with her IBD, a general vitamin injection with a vitamin B12 injection.
As of January 2020, Puppy will be 14 in July and her ALT liver cell-specific level is now just 131 IU/l, only 13 points above the normal reference range, and all other serum chemistry levels are within the normal ranges.
With patience and consistency Puppy is getting better and thriving on her life style changes; she now maintains a steady weight of 14.8lbs, perfect for her size.
Jennifer Lane, Hemopet