I don't know what that lab has as normal but those levels don't sound all that high to me.
ALT is a pretty unreliable test... many things can alter the levels.
I totally don't understand doing an ultrasound. I am just a pet owner but one who has had many and I can tell you there is no way I would do one without a really convincing reason. Sounds like a waste of money ...definitely ask for your vet's reasoning here. |