I am not a vet but do have a dog with cushings. Long term dosing with steroids can cause cushings, called a typical cushings. Did your vet officially diagnose cushings of is just saying that. Approx 15% of. Cushings is this type, the other 85% is pituitary based. Cushings requires a low-fat diet, or dog can get pancreatitis. Liver enzyme ALP may be related to other issues besides cushings, like bone related, or gastrointestinal. ALT and AST are more direct liver related. Stellla may be a bit fatty, try home cooking, and use a good vitamin. Check fat on dog labels using dry mattter basis calculator, not face value of label. Cushings should eat about 12% fat. If your dog does have cushings, treating with meds is pricey, so is the official testing. Low-fat is super important to keep from getting pancreatitis. Coco oil is too fatty imo. Denamari. is for liver, Met. Is an antibiotic, prednisone is a steroid, and Prilosec is for heartburn. I’m not a vet, but this is not treatment for cushings, is it for gastrointestinal issues with liver probs? I think you may want to cut out egg yolk, due to cholesterol. Cushings is caused by high cortisol, the stress hormone. Go to your vet and say this is not treatment for cushings. If it is hard to find cool to feed, maybe check out honest kitchen limited ingred. Beef or Kim ingred fish only. Very important to check fat using dry matter. Good luck. If your pet is lethargic take him in to vet, and join some groups for people whose dogs have cushings, these help a lot! Good luck!