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I have never seen a nutrition profile before actually! It's a holistic vet thing and unfortunately, we don't have one here. If this were Brody, I'd go by the recommendations of the vet who has been trained in this area of specialty. It looks like he has some concentrated vitamin drops, etc. that he recommends?

From just an outsiders viewpoint, I'd have him on milk thistle at the very least to help his liver enzymes which are out of whack. I can't really speak to his other deficiencies.

I would try this vets recommendations for at least 3 months and then have the test re-drawn to see if there is improvement.
 

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If he was hypothyroid (not enough), then supplementation is necessary, easy, inexpensive.

Hyperthyroid (which is what he has) is more complicated. Further blood tests would be needed (free T4) to pinpoint the exact level of functioning of the thyroid gland. I see the T4 HAS been done and it is abnormally high. The next step would probably be an ultrasound to see if there are any nodules or abnormal growths to be found. Unfortunately, hyperthyroidism is often caused by a tumor. It should definitely not be ignored. Most cases of hyperthyroidism in dogs are cancer in the thyroid gland.

Merck Veterinary Manual

I would definitely want a follow up, if just to rule that out.
 
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