My girl had an elevated liver enzyme in two of her blood tests- I was really worried she might have liver issues (I am grateful to say she must've gotten into something because her bloodwork has been consistently normal for some time) while I was working myself into a tissy trying to figure out different routes my vets reccomendation if her bloodwork didn't calm down within thirty days on a nutricutical was ultrasound or an actual liver biopsy- are either of those reasonable options? So sorry to hear about your sweet Harry