0:55 What Affects Liver Function 3:32 common reported liver values (overview) 3:59 ALT (alanine aminotransferase); image of healthy vs unhealthy liver 5:10 diseases that cause increased ALT 6:58 AST (aspartate transaminase) 7:57 diseases that case increased AST 8:11 ALKP (alkaline phosphatase) 9:52 diseases that cause increased AlkP 10:44 GGT (gamma-glutamyltransferase) 11:50 diseases that increase GGT; increased ALKP + increased GGT = possible liver disease 12:44 Tbil (total bilirubin) 13:15 hyperbilirubinemia (increased bilirubin in blood) causes (ALT, GGT) 15:44 Chol (cholesterol) 16:28 diseases associated with cholesterol and liver 17:27 total protein (made up of liver-made albumin and globulin); low calcium and low albumin connected 18:30 causes of low albumin 19:38 symptoms of low albumin 20:27 belly full of fluid photos (liver not working) 20:53 common symptoms of liver disease 21:36 clotting disorders due to liver problems 22:05 hepatic Encephalopathy (symptom: head pressing) 22:34 dog's liver can function even when 80% consumed by disease; liver can repair itself 23:03 nutritional changes for liver disease 24:30 Traditional Chinese Veterinary Medicine for Liver 25:47 herbs that help drain the liver 26:35 liver draining diet for elevated liver enzymes (not balanced/complete) 27:27 symptoms of liver blood deficiency 29:05 foods that help build the liver blood (orange, red, dark green) 29:40 Q&A with live chat 30:16 dogs with liver shunts commonly have very low levels on things like BUN and Cholesterol 30:48 dogs with liver shunts can't process high protein diets 32:01 ALT increased by 100 points (leaky liver cells) 32:41 cushing's and increased AlkP and protein 33:35 gallbladder sludge 34:20 any drug can increase liver levels; get bloodwork every few months to monitor 36:19 you can look for side effects of human medications 37:38 what can be done with gallbladder sludge
What about LOWERED ALP, in a dig with MVD of the liver? I understand (?) that lowered ALP cab be indicative of other chronic concerns, and I'm always told to IGNORE lower ALP values. Yet, is it not important to view the trend, from draw to draw, and, I'm curious why we would not want to attempt to be proactive if levels trend down?? Is it possibly tied to secondary concerns, such as muscular issues, lethargy,, etc, also related to MVD?
Can white rice be used for dogs with liver disease? Is it good for them in any capacity? I personally hate it, but have seen it recommended elsewhere. Oatmeal and pasta, too.
Should dogs with kidney disease avoid milk thistle, dandelion root (or the leaves), corn silk and/or hawthorn? I've seen it advised to avoid them due to the phosphorus but I'm thinking the phosphorus would be rather minimal because we wouldn't be feeding a large amount of these herbs. Should they be avoided because of diuretic properties?
Love love love this! Would love to see one on kidney values, urinalysis values. I get a senior panel on my dog twice a year to watch kidney function (anaplasma positive), and I always hear "It's good." which is awesome, but I would like to understand more about each value and why its good (or not if that ever happens).
I have a Havanese she is 10. Her AlLP of 500. Everything else is normal according to the vet. I feed science diet can and dry. She doesn’t drink or peep excessively. Should I be concerned about her for liver problems?
I can’t believe more people haven’t watched this video. Excellent information
Lots of great information. Thank you Dr. Judy ❤🐾
Thank you!
0:55 What Affects Liver Function
3:32 common reported liver values (overview)
3:59 ALT (alanine aminotransferase); image of healthy vs unhealthy liver
5:10 diseases that cause increased ALT
6:58 AST (aspartate transaminase)
7:57 diseases that case increased AST
8:11 ALKP (alkaline phosphatase)
9:52 diseases that cause increased AlkP
10:44 GGT (gamma-glutamyltransferase)
11:50 diseases that increase GGT; increased ALKP + increased GGT = possible liver disease
12:44 Tbil (total bilirubin)
13:15 hyperbilirubinemia (increased bilirubin in blood) causes (ALT, GGT)
15:44 Chol (cholesterol)
16:28 diseases associated with cholesterol and liver
17:27 total protein (made up of liver-made albumin and globulin); low calcium and low albumin connected
18:30 causes of low albumin
19:38 symptoms of low albumin
20:27 belly full of fluid photos (liver not working)
20:53 common symptoms of liver disease
21:36 clotting disorders due to liver problems
22:05 hepatic Encephalopathy (symptom: head pressing)
22:34 dog's liver can function even when 80% consumed by disease; liver can repair itself
23:03 nutritional changes for liver disease
24:30 Traditional Chinese Veterinary Medicine for Liver
25:47 herbs that help drain the liver
26:35 liver draining diet for elevated liver enzymes (not balanced/complete)
27:27 symptoms of liver blood deficiency
29:05 foods that help build the liver blood (orange, red, dark green)
29:40 Q&A with live chat
30:16 dogs with liver shunts commonly have very low levels on things like BUN and Cholesterol
30:48 dogs with liver shunts can't process high protein diets
32:01 ALT increased by 100 points (leaky liver cells)
32:41 cushing's and increased AlkP and protein
33:35 gallbladder sludge
34:20 any drug can increase liver levels; get bloodwork every few months to monitor
36:19 you can look for side effects of human medications
37:38 what can be done with gallbladder sludge
What about LOWERED ALP, in a dig with MVD of the liver? I understand (?) that lowered ALP cab be indicative of other chronic concerns, and I'm always told to IGNORE lower ALP values. Yet, is it not important to view the trend, from draw to draw, and, I'm curious why we would not want to attempt to be proactive if levels trend down?? Is it possibly tied to secondary concerns, such as muscular issues, lethargy,, etc, also related to MVD?
Did you ever get an answer on this? My dog has low liver enzymes and a small, fibrous liver.
Lowered ALP is inconsequential overall.
Can white rice be used for dogs with liver disease? Is it good for them in any capacity? I personally hate it, but have seen it recommended elsewhere. Oatmeal and pasta, too.
I don't use it.
Should dogs with kidney disease avoid milk thistle, dandelion root (or the leaves), corn silk and/or hawthorn? I've seen it advised to avoid them due to the phosphorus but I'm thinking the phosphorus would be rather minimal because we wouldn't be feeding a large amount of these herbs.
Should they be avoided because of diuretic properties?
They are not used in large amounts so I would not be worried about the phosphorous. They are included in a lot of herbal kidney formulas.
Thank you 🙏🏻
Love love love this! Would love to see one on kidney values, urinalysis values. I get a senior panel on my dog twice a year to watch kidney function (anaplasma positive), and I always hear "It's good." which is awesome, but I would like to understand more about each value and why its good (or not if that ever happens).
Great video very informative. Thank you
Thank you so much! Just ordered your books ❣️
I have a Havanese she is 10.
Her AlLP of 500. Everything else is normal according to the vet. I feed science diet can and dry. She doesn’t drink or peep excessively. Should I be concerned about her for liver problems?
Could be related to food, adrenal gland function, liver function, or steroid administration.