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Old August 26th, 2013, 04:04 PM
MaxaLisa MaxaLisa is offline
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Join Date: Nov 2010
Location: California, usa
Posts: 857
I'm not a big fan of longterm use of alcohol based tinctures for dogs.

With the elevated ALT and ALP, I would be giving something like Country Life's "Liver Support Factors", or something similar. I understand that it has to be ordered from the states and can be pricey, but it's the best liver support that I know.

I know of some dogs that have had a reaction to Tramadol, though it doesn't seem very common.

An ultrasound would be the next step - it might tell you whether you are looking at liver, gallbladder, etc.
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