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Originally Posted by Ellie May  Did she end up getting spayed anyway or did you hold off?
I would personally be very concerned with an ALT 3 times the highest it should be in a Yorkie. I think the bile acids test will tell you a lot but even if it's not that, I would look for answers in other testing. Something just doesn't seem right. 
Ellie's amylase was about that too and it went back up.
Her vet wasn't concerned either. |
She did get spayed.....I wasn't told about the sky hight ALT until I went to pick her up and the vet gave me a copy of her labs as I had requested. I saw the value and had to ask about it, since when he called me BEFORE HER SURGERY, he ONLY mentioned that she was slightly dehydrated, probably because she had been NPO for 14 or so hours, and that her BUN was slightly high, probably from the dehydration!! He did NOT say anything about her ALT at all, and when I asked him about it, he said that it wasn't anything to worry about since the other liver enzymes were normal. I couldn't believe he didn't tell me before her surgery or that he didn't suggest any further testing, especially since she is a Yorkie! (Remember, this is the vet that messed up removing her dewclaws....one partially grew back and had to be re-done. He isn't her regular vet.)
So, if her BAT comes back normal, would you go ahead with the Protein C?? Or would you want to consult with a specialist anyway to figure out why it is sooooo high?
Oh, and thanks for sharing about Ellie's amylase levels being low too, and then going back up to normal. That's very reassuring!