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Hi Love My Millie!
My Parti-Yorkie had elevated ALT and Bile Acids, as well. An ultrasound showed it was most likely MVD, which we control by diet and supplements. Cyndi Smasal wrote, "Help for HEaling Liver Disease in Your Dog: The Complete Story". It was a helpful read for us.
We were able to get his ALT numbers back to normal by using Denamarin and Milk Thistle as well as changing his diet to Just Food For Dogs - Hepatic Support. His bile acids took longer (he's tested normal for the last 9 months). When I added Bark-Whiskers Detox Support and Pet Wellbeing Kidney Support, as well as, Denamarin and Pet Wellbeing Milk Thistle, his bile acids decreased nicely. We were testing every 3 months, then 6 months or so...
Here's some links for the above you might find helpful. Check with your specialist/Vet about these, but we're thankful to have these options for London.
www.chewy.com
www.chewy.com
www.chewy.com
www.chewy.com
www.chewy.com
Stacy
My Parti-Yorkie had elevated ALT and Bile Acids, as well. An ultrasound showed it was most likely MVD, which we control by diet and supplements. Cyndi Smasal wrote, "Help for HEaling Liver Disease in Your Dog: The Complete Story". It was a helpful read for us.
We were able to get his ALT numbers back to normal by using Denamarin and Milk Thistle as well as changing his diet to Just Food For Dogs - Hepatic Support. His bile acids took longer (he's tested normal for the last 9 months). When I added Bark-Whiskers Detox Support and Pet Wellbeing Kidney Support, as well as, Denamarin and Pet Wellbeing Milk Thistle, his bile acids decreased nicely. We were testing every 3 months, then 6 months or so...
Here's some links for the above you might find helpful. Check with your specialist/Vet about these, but we're thankful to have these options for London.

Hope for Healing Liver Disease in Your Dog: The Complete Story: Smasal, Cyndi: 9781508892250: Amazon.com: Books
Hope for Healing Liver Disease in Your Dog: The Complete Story [Smasal, Cyndi] on Amazon.com. *FREE* shipping on qualifying offers. Hope for Healing Liver Disease in Your Dog: The Complete Story
www.amazon.com
NUTRAMAX Denamarin Tablets with S-Adenosylmethionine SAMe & Silybin Liver Health Supplement for Small Dogs & Cats, 30 count - Chewy.com
Buy Nutramax Denamarin Tablets with S-Adenosylmethionine SAMe & Silybin Liver Health Supplement for Small Dogs & Cats, 30 count at Chewy.com. FREE shipping and the BEST customer service!
PET WELLBEING Milk Thistle Bacon Flavored Liquid Liver Supplement for Dogs & Cats, 2-oz bottle - Chewy.com
Buy Pet Wellbeing Milk Thistle Bacon Flavored Liquid Liver Supplement for Dogs & Cats, 2-oz bottle at Chewy.com. FREE shipping and the BEST customer service!
JUSTFOODFORDOGS Veterinary Diet Hepatic Support Low Fat Frozen Human-Grade Fresh Dog Food, 18-oz pouch, case of 7 - Chewy.com
Buy JustFoodForDogs Veterinary Diet Hepatic Support Low Fat Frozen Human-Grade Fresh Dog Food, 18-oz pouch, case of 7 at Chewy.com. FREE shipping and the BEST customer service!
BARK & WHISKERS Detox Support Dog & Cat Supplement, 1.7-oz jar - Chewy.com
Buy Bark & Whiskers Detox Support Dog & Cat Supplement, 1.7-oz jar at Chewy.com. FREE shipping and the BEST customer service!
PET WELLBEING Kidney Support GOLD Bacon Flavored Liquid Kidney Supplement for Dogs & Cats, 4-oz bottle - Chewy.com
Buy Pet Wellbeing Kidney Support GOLD Bacon Flavored Liquid Kidney Supplement for Dogs & Cats, 4-oz bottle at Chewy.com. FREE shipping and the BEST customer service!
Stacy