A.Ultrasound is a good idea. This non-invasive procedure is the first thing I would do for Beau. A good ultrasonographer can tell a lot from an ultrasound. Do make sure that your dog wasn’t recently vaccinated or on medication, particularly cortisone, because both of these will elevate liver enzymes. I would recommend milk thistle (there are veterinary products available with dosage recommendations by weight). If you’re using a human product, one “rule of thumb” for a dog is to use one-third to one-half the human dosage, depending upon patient weight. SAM-e is available from health food stores (Nutramax puts out a veterinary formula) and although it’s not necessarily the first product we turn to in our clinic, you may have success with it.
Liver disease responds dramatically to intravenous vitamin C and ozone and injectible homeopathic liver extracts so if this is a severe case, you could consider these therapies as well.