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High Liver Enzymes
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High Liver Enzymes

I have a male Maltese who will be 12 years old next month. His recent blood work revealed that his liver enzymes are elevated. He weighs around 9 pounds usually but his appetite has been off and he weighs 7 1/4 pounds as of yesterday. His numbers are as follows:
Crea is low at 0.3 mg/dl
ALT is high at 468 U/L
ALKP is high at 1901 U/L

Everything else is normal. Any ideas on what's wrong and advice about what to do? I'm really worried about him.
974371_tn?1424656729
I am no expert in liver disease, however, it needs to be determined if the liver is actually diseased or the high values are being caused by something else going on (bile, gallbladder, pancreas, etc).  Of course, old age can affect the functioning of the organs.  
What food are you feeding and is your dog on any medications? His appetite being off us probably an indication something is going on.
Has he been tested for Cushings, diabetes?  What did your Vet say?  Is the Vet going to do follow up blood work?  He may want to do an u,trasound to check the size of the liver and check other organs.
Sorry, just too many possibilities.  
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