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Old 08-06-2009, 09:39 AM   #26
dwerten
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Join Date: May 2007
Location: USA
Posts: 11,073
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Quote:
Originally Posted by Ellie May View Post
IMO, it is too early for a liver biopsy.
That procedure is not without risks and her post is a bit low for me to consider it.

Yes, shunts usually cause a much higher post but it is still a very slight possibility and the bile acids could go up (or down) next time. Ellie had three bile acids tests. Her post results 1) 47, 2) 15 and 3) 106 and her liver enzymes were only (slightly) elevated once. Bile acids are a funny thing...

IMO, if you want to do the spay now, it would probably be just fine. By the way, not all vets use propofol even for liver compromised dogs.
i agree i would not do liver biopsy with those low of numbers and normal alt -- i do not believe in doing testing further unless a dog is having issues and/or real high numbers. The gall bladder can contract and throw off test as well so i agree just do spay and get the teeth out of there as i believe dogs who are not being bred should be spay before first heat as i have seen dogs die at age 2 of pyometra as it comes on so fast and within 48 hrs the dog is dead
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