Should I continue Denamarin if my dog's liver is better but he's weak?

Dahlia will need a follow up blood test because thats the only way to know if the medication is helping. Most pets will have the blood retested 1 month after starting the Denamarin. The medication is safe to use long term. Call the clinic to get an appointment at the 30 day mark since starting the pills. I hope this helps and please feel free to post any additional questions.

The Denamarin should not be needed if her liver enzymes are normal. It is not for energy it is just to help support the liver. Giving it intermittently is just a waste of money. It won't hurt it but it's not necessary. I suggest you put her on a good supplement like this one. I think it will help her all around: ( https://www.allivet.com/p-5454-missing-link-recovery-detoxification-1-lb.aspx )

Elevated ALT does not mean certain death for your dog, many blood test come back with elevated ALT and it is eventually treatable in most cases. Denamarin can help liver function in general but not always. if Prednisone is suspected to be the cause it may need to be stopped gradually.

If the liver mass grows slowly then with medication Blue may continue to do well. The pills won't stop working but the liver disease and mass may continue to progress causing Blue's condition to decline. Since you've had improvement on the medication there is a good chance that Blue will continue to do well for some time. Remember to enjoy every day with Blue. Thanks for using Petco Pet Education Center, formerly Petcoach to help you get answers to your veterinary questions.

Denamarin isn't a treatment for liver disease, it is a potent antioxidant that can help limit further damage as the liver heals. Missing one dose won't hurt. It is best given on an empty stomach, but it can make some pets nauseous. In that case, you can give it with a tablespoon of wet food or a piece of meat or cheese.

Acute hepatic intoxication is the main suspicion, considering the signs you reported. Denosyl (SAMe) will protect liver cells from further damage and death and it will certainly help to detoxify the liver. It is important to monitor ALT and AST, but clinical improvement is even more important. So i think that he is already improving, since he is eating and surely he is brighter than onset of the signs. It will take time the intoxication will resolve. Please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further.

Hello. There are many underlying causes for high liver values, some more serious than others. The beauty of our livers is it is the only organ that can heal & regenerate once an insult is removed. I am not sure what your veterinarian hoped to accomplish keeping Lucy over night, but if she is otherwise feeling well, use of the Denamarin & prudent monitoring of the liver values is a good start. It would be helpful to obtain a bile acid assay & abdominal ultrasound to try & get as much information as possible about the liver, but the Denamarin can protect the liver from further oxidative injury. It will not help much if this is cancer, or an active hepatitis or infection, but it has helped to bring the enzyme levels down in some patients. Once you can obtain more detailed information about the liver can you determine how absolutely serious this might be. Stay in contact with your vet & try to follow their recommendations as closely as possible. Hopefully, Lucy will do very well. Thanks for using Petco Pet Education Center, formerly Petcoach.