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Generally, two to three times the normal level is considered as insignificant and only a persistent increase is considered to be abnormal. ALT levels may go up to four to five time the normal level even in non-hepatic disorders like inflammation of the gastrointestinal tract, hemolytic anemia and heart failure. A dog undergoing treatment with anticonvulsants and glucosteroids or those that have an inhibited flow of bile may also show a moderate increase in ALT levels.
Read » High liver enzymes in dogs and what they signify


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