I am sorry to hear you are worried about Lilly. My name is Rebecca. I am a veterinarian.
I need to know what Lilly weighs to tell you if this is the correct dose of Ursochol.
How old is Lilly? Is she acting sick in any way? Is the Fosfatasa Alkalina the only one of her liver values that was abnormal? Older dogs will often have an elevation of this particular enzyme; it is probably caused by benign age related changes in the liver. I know 336 may sound high, but that is only a mild elevation; the highest I have seen was 21,000. Many older dogs will have this enzyme be in the 300 to 400 range, and it is not a concern.
That liver enzyme can also be high with a condition called Cushing's disease. If she had Cushing's, she would probably be drinking a lot of water, and urinating excessively. Usually the Fosfatasa Alkalina is much higher with Cushing's, over 1000. The dog I saw with the 21,000 had this condition.
Let me know her weight and her age, and what other questions you have.
In an 11 year old dog, I would not be too worried about these numbers, unless she is showing signs of liver disease; weight loss, vomiting, excessive thirst, lethargy. I might consider some liver supplements, to reduce liver inflammation such as SAMe (an antioxidant), and milk thistle.
The dose of Ursochol in a dog her size would be 240 to 360 mg daily, in one dose or divided twice daily.
Yes, it contains SAMe and milk thistle. It may help if the liver is inflamed and that is the reason for the elevated numbers.
Let me know if this is helpful and if I can answer any more of your questions.
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