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Originally Posted by dwerten  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 |
The other two levels that are done with the SPEC cPL full test are Folate and Cobalamine. These, in conjunction with the TLI and cPL are what can differentiate from pancreatitis to other much more severe intestinal issues such as PLE. And if EPI is present, treatment is much different than standard pancreatitis as well. cPL and TLI are separate tests, so if a cPLi is done, this doesn't necessarily show the same results.
High levels of folate indicate a bacterial problem in the intestines - many times yeast treatments are needed. A low cobalamine means they need B12 injections.
Way too many times vets use the diagnosis of pancreatitis as a catch-all for any unexplained vomiting, diarrhea. I'm not advocating unnecessary testing, but a full SPEC cPL can save lots of money over ultrasounds and other more invasive biopsy tests.
I would highly recommend the TLI, folate and cobalamine tests if pancreatitis symptoms continue....