[tokipoki]

So I took Toki in for a physical and a routine blood test this past Wednesday. The results of the blood test came back with high liver enzymes (the only value I remember was the ALT being 312...I can get more specific values Monday when I ask for a copy of her bloodwork results). The following day we got a bile acid test performed and her post-fast value was was 63 so now we have an ultrasound scheduled for Monday to check for a liver shunt.

This is all really surprising to me...we go in for a routine exam visit and now there is the possibility of liver issues. Toki's bloodwork was completely normal back in September/October when she had her FHO surgery and she has been asymptomatic, to my knowledge.

The vet gave me an antibiotic and a liver support supplement to give her in the meantime and I've switched her food to a kibble lower in protein and fat. Depending on the results of the ultrasound (which I know isn't the most reliable way to detect a shunt), my vet is going to discuss treatment and management plans with me.

I was just looking for similar experiences or any advice/recommendations or stories you all could share with me. I suppose it is better that we found out about potential issues before Toki started presenting outward signs/symptoms. I just hope we are able to pinpoint a specific cause for her elevated liver enzymes and BAT values.