I was questioning that also. My mom's best friend is actually a very well known vet in our area who I trust a lot, so I'm thinking I will take her to him for a visit this weekend. I want to find out what's wrong and treat her, not just wait around. I've been looking up info about low protein diets and am trying to figure out what type to feed. I still want to give a high quality food....any suggestions? I read that many people opt for canned food. They did not give me numbers, just said that it was elevated a bit. I am going to call now and request paperwork.

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Be the person your dog thinks you are.

You've been given some good advice about no more vaccines for now and getting a second opinion, I would absolutely go that route myself.

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Zari had an elevated ALT in her pre-op spay blood work also...since she was already fasting they went ahead with the acid bile test ....which turned out to be within normal limits......they had her back in q 6 months for Alts and she has never had any abnormalities since...her spay was then completed about 3 weeks ( I think ) later.
As for having the vaccines done, I would also wait...Izzy had a bad reaction to Profopol last month and they would not give her the rabies vaccine for a few weeks following that to allow her immune system to recover....best to always weigh on the side of caution in my opinion