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					Originally Posted by  LuvMySissy     I forgot to add that if this test was done in-house, it could have just been a lipase level.  In-house results are definitely faster, but not complete enough information to accurately diagnosis.  To do a full SPEC cPL, it needs to have these four levels measured:  cPL, TLI, Folate and Cobalimine.  These four are equally important numbers and if the cPL is abnormal, you still need to know the others for a complete diagnosis as those numbers can change the dianogsis from pancreatitis to many other things.  If it is really something else and just treated for pancreatitis, you're going to continue to have issue after rissue after issue.   |  
 
  the spec cpli is for pancreatitis and it is done in house now there is a snap with idexx lab for this so probably what they did.  the tli is a separate test which you have to add on and that is determine if epi as i have done that add on as well and i believe the other two are additional add ons but never have done those other two just the tli and cpli for dex and in feb both came back normal thank goodness and now will only do cpli as he does not have any symptoms of epi so not a real concern for us at this point