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Mildly increased ALP.

Species: Dog
Breed: miniature schnauzer
Age: 8-11 years
My dog's routine blood work shows an alkaline phosaphate level of 159. The vet is not worried and recommends re-testing in 6 months. I would like to know what I can do prevention-wise to keep her liver healthy. Something homeopathic like milk thistle or sam-e? Do you recommend this and at what dose. She is 18 lbs with no problems.

Online vet, Dr. Marie

Dr. Marie replied:

I would agree with your vet that at this point nothing needs to be done. An ALKP level of 159 is slightly higher than normal but absolutely nothing to worry about. There are a lot of perfectly healthy dogs that have a slightly high ALKP. I get more worried when I see numbers like 400 or 800 or more, but even then I don't get excited unless there are other symptoms or other liver enzymes that are elevated.

There really is no need to use any supplements at this point. However, I would agree that's it a good idea to retest either in 6 months, or sooner if you feel like something is not right. My guess is that everything will be just fine!

Dr. Marie.

---This question was asked in our Ask A Vet For Free section.---

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Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

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Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.