High ALT Levels

[SrBridgerton]

Hey everyone,

My cat Bridgerton (about 2 yrs old) first had high ALT levels (320) in September. We retested him in October and it went up to 410. We did an ultrasound, bile duct test, amoxi drops and metronidazole, and everything came back normal and his levels are unchanged after the medication. The vet said he could refer me to an internal specialist who would most likely suggest a biopsy, or we could just "do nothing" and see if he develops any symptoms. My boy seems happy and healthy, but I'm nervous about either option. For now I'm opting to re test him in a few months to see if his levels keep climbing, but I'm really anxious about what's the best course of action for my cat. From speaking with the vet it seems like because Bridgerton is young and has no clinical symptoms we may be okay with just waiting and watching him, but that makes me just as nervous as the thought of a biopsy.
Has anyone else been in a similar position?

 

[iPappy]

Hi! I have not been in that position, but, I have known people who have cats with elevated liver enzymes and in some of those cases, the vet prescribes something called denamarin. It's a liver support and protector and seems to really do the trick. Could you ask your vet about trying this, then re-testing again in a few weeks to see if his levels normalize?

 

[silent meowlook]

Try to search your home for any toxins. Essential oils, all natural cleaners, human topical medications, air fresheners, plants?
I have put a link here for some information on cats and elevated liver enzymes.
Liver Disease in Cats | International Cat Care

 

[FeebysOwner]

Hi. Your cat is pretty young, but maybe have his teeth checked. I have heard dental disease can elevate ALT, but other possibilities are listed in the article link above. There are cases where denamarin has made a positive impact, also as mentioned above.

Here are a few previous threads about high ALT from other members, although I am not sure how much help they will be -
High ALT | TheCatSite
Very high ALT, possible IBD flare up? | TheCatSite
High Liver Enzymes. | TheCatSite
ALT of 744 - What to expect? | TheCatSite

I agree with your vet about waiting before proceeding with a biopsy.