My senior dog has elevated liver enzymes. Will Denosyl help him?

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.

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.

Hello and thank you for your interesting question. The first thing I would do is schedule another blood work up appointment to look at the liver enzymes in about two weeks after the first sample was taken. If the liver enzymes, specifically ALT, are still elevated, then there is some evidence that there’s been hepatocellular or liver disease or damage. I understand the veterinarian not wanting to test for Cushing’s disease, especially with the age and the lack of symptoms. But if the enzymes are still elevated, I would ask the vet if it would be worthwhile to start a liver protectant daily medication such as Denamarin. This medication given daily could potential he slow the damage to the liver cells and you may never exhibit clinical signs for the remainder of life and this medication has very little side effects. The other thing that you could possibly do if the liver enzymes are elevated used to start a liver protectant diet which is usually a prescription diet that is dispensed that your veterinary clinic. Again, these are two fairly easy, noninvasive ways to protect your pets liver from whatever is causing the cellular damage. I hope I’ve given you some information that helps. Have a great day.

Hello, thank you for using Petco Pet Education Center, formerly Petcoach. If Sancho's liver values are elevated due to the ingestion of some foreign material, be it a plant or other toxin, & he is eating with no vomiting or diarrhea, your veterinarian may be taking a wait & watch approach. Usually, we will administer emetics ( to induce vomiting ) & an intestinal absorbant such as charcoal if this was an acute issue. But often we do not see these elevations for hours to days after an insult to the liver has occurred. If Sancho is well, rechecking the values in several weeks is prudent. The values may change by this time. If not, we need to see if this is a chronic issue with the liver, or possibly even the gall bladder. Medications may be need ed at this time, including some neutraceuticals such as Sam-e and milk thistle. It is important that you stay in close contact with Sancho's veterinarian for any recommendations. Take care.

Pardale is a non-steroidal anti-inflammatory medication that contains acetaminophen and codeine. Acetaminophen can cause liver toxicity in some dogs, especially if used inappropriately. Since he seems to be feeling better, there is a chance his liver will go back to normal with the discontinuation of the drug. Your vet could put him on a liver supplement, like Denamarin, to help his liver function better. Your vet can repeat bloodwork in a month to recheck his values. I would definitely be reluctant to put him back on a non-steroidal type medication for his arthritis or use one in very low doses. You could put him on a joint supplement, like Dasuquin and see if that help his joints.

I assume when you say liver enzymes you mean ALT? There a few enzymes we look at and elevation in 1 value makes us consider different causes then elevation in another. ALT elevation is caused make liver cell injury and leakage of enzymes in to the bloodstream. As the liver sees all the blood of the body it can be quite a reactive organ. So the question is whether the liver enzyme is up because of something wrong with the liver/vessels to liver themselves (such as an infectious or inflammatory cause (hepatitis) or a shunt (more common in younger dogs)) or something the liver is responding too (toxicity, disease of over organs). Unfortunately all parts of sago palm are toxic to dogs with the seeds (nuts) being most toxic. And it can be quite challenging to know if this is the cause. If it is sago it depends on the degree of ingestion as to how severe the case is. Unfortunately the treatment for this is supportive as you have been doing. The values may continue to increase or hopefully may plateau off and remain mildly elevated or decrease again. Ultrasound will help to rule out other things going on in the abdomen, assess the liver for changes in texture (although a liver can appear normal on an ultrasound and not be functionally normal), and sometimes identify a portosystemic shunt. After the ultrasound then sampling either first by fine needle aspirate or with a biopsy (needed for many cases of hepatitis, some other issues) can be performed. Checking platelets and clotting times should be performed prior to liver sampling in patients whose livers are not normal to decrease the risk of bleeding from sampling. As shunts are more common in younger animals , if this is suspected, additional imaging may be recommended prior to sampling as ultrasound will not identify all shunts. There is also a disorder called microvascular dysplasia that can be found in the liver. This is best diagnosed by liver biopsy and the sample sent to a pathologist who specializes in liver pathology. I hope this has helped and not confused you more. It sounds like your vet has taken the appropriate steps thus far and has recommended the next best steps to try to rule out some other causes. Thank you for using Petco Pet Education Center, formerly Petcoach!

My best recommendation to supplement liver function is a supplement called Denamarin. It contains several of the known ingredients we historically used to support liver health all in one supplement. Very often, I observe my patients Liver enzymes decreasing dramatically on this supplement.