Deciphering Liver Values
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- Опубликовано: 4 авг 2024
- Dr. Judy teaches pet parents how to read lab results as they relate to the liver and its function. She begins with a discussion on what factors affect liver function in our pets and then shares information regarding the liver enzymes which need to be tracked by regular blood work such as ALT, AST, and ALKP. With each of these Dr. Judy shares what may cause these values to increase in our pet's lab work. Dr. Judy also covers symptoms of liver disease with our pets and the best steps we can take to help our pets who are experiencing these symptoms. She suggests how to feed our pets with liver issues using traditional Chinese veterinarian medicine recipes. (Recorded 10/15/2021)
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*DISCLAIMER: The purpose of this video is to educate and to inform. It is no substitute for professional care by a veterinarian, licensed nutritionist or other qualified professional. You‘re encouraged to do your own research and should not rely on this information as professional medical advice, diagnosis, or treatment. Dr. Judy and her guests express their own opinions, experience and conclusions, and Dr. Judy Morgan’s Naturally Healthy Pets neither endorses or opposes any particular views discussed here.
0:00 Introduction
0:55 Factors Affecting Liver Function
11:47 If elevated ALP activity is noted with a concurrent increase in serum GGT activity, specificity for liver disease increases to
16:27 Diseases associated with changes in cholesterol: Low levels- Cirrhosis of the liver
17:25 Total Protein Made up of Albumin and Globulin
18:30 Causes of low albumin on blood test
19:38 Symptoms of low albumin
20:51 Common symptoms of liver disease
22:04 Hepatic Encephalopathy
23:02 Nutritional Changes For Liver Disease
27:26 Symptoms of Liver Blood Deficiency
29:42 Foods that help build liver blood 
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I can’t believe more people haven’t watched this video. Excellent information
0:55 What Affects Liver Function
3:32 common reported liver values (overview)
3:59 ALT (alanine aminotransferase); image of healthy vs unhealthy liver
5:10 diseases that cause increased ALT
6:58 AST (aspartate transaminase)
7:57 diseases that case increased AST
8:11 ALKP (alkaline phosphatase)
9:52 diseases that cause increased AlkP
10:44 GGT (gamma-glutamyltransferase)
11:50 diseases that increase GGT; increased ALKP + increased GGT = possible liver disease
12:44 Tbil (total bilirubin)
13:15 hyperbilirubinemia (increased bilirubin in blood) causes (ALT, GGT)
15:44 Chol (cholesterol)
16:28 diseases associated with cholesterol and liver
17:27 total protein (made up of liver-made albumin and globulin); low calcium and low albumin connected
18:30 causes of low albumin
19:38 symptoms of low albumin
20:27 belly full of fluid photos (liver not working)
20:53 common symptoms of liver disease
21:36 clotting disorders due to liver problems
22:05 hepatic Encephalopathy (symptom: head pressing)
22:34 dog's liver can function even when 80% consumed by disease; liver can repair itself
23:03 nutritional changes for liver disease
24:30 Traditional Chinese Veterinary Medicine for Liver
25:47 herbs that help drain the liver
26:35 liver draining diet for elevated liver enzymes (not balanced/complete)
27:27 symptoms of liver blood deficiency
29:05 foods that help build the liver blood (orange, red, dark green)
29:40 Q&A with live chat
30:16 dogs with liver shunts commonly have very low levels on things like BUN and Cholesterol
30:48 dogs with liver shunts can't process high protein diets
32:01 ALT increased by 100 points (leaky liver cells)
32:41 cushing's and increased AlkP and protein
33:35 gallbladder sludge
34:20 any drug can increase liver levels; get bloodwork every few months to monitor
36:19 you can look for side effects of human medications
37:38 what can be done with gallbladder sludge
Love love love this! Would love to see one on kidney values, urinalysis values. I get a senior panel on my dog twice a year to watch kidney function (anaplasma positive), and I always hear "It's good." which is awesome, but I would like to understand more about each value and why its good (or not if that ever happens).
Lots of great information. Thank you Dr. Judy ❤🐾
Thank you!
Thank you 🙏🏻
Thank you so much! Just ordered your books ❣️
Great video very informative. Thank you
Can white rice be used for dogs with liver disease? Is it good for them in any capacity? I personally hate it, but have seen it recommended elsewhere. Oatmeal and pasta, too.
I don't use it.
What about LOWERED ALP, in a dig with MVD of the liver? I understand (?) that lowered ALP cab be indicative of other chronic concerns, and I'm always told to IGNORE lower ALP values. Yet, is it not important to view the trend, from draw to draw, and, I'm curious why we would not want to attempt to be proactive if levels trend down?? Is it possibly tied to secondary concerns, such as muscular issues, lethargy,, etc, also related to MVD?
Did you ever get an answer on this? My dog has low liver enzymes and a small, fibrous liver.
Lowered ALP is inconsequential overall.
Should dogs with kidney disease avoid milk thistle, dandelion root (or the leaves), corn silk and/or hawthorn? I've seen it advised to avoid them due to the phosphorus but I'm thinking the phosphorus would be rather minimal because we wouldn't be feeding a large amount of these herbs.
Should they be avoided because of diuretic properties?
They are not used in large amounts so I would not be worried about the phosphorous. They are included in a lot of herbal kidney formulas.
I have a Havanese she is 10.
Her AlLP of 500. Everything else is normal according to the vet. I feed science diet can and dry. She doesn’t drink or peep excessively. Should I be concerned about her for liver problems?
Could be related to food, adrenal gland function, liver function, or steroid administration.