blood tests came back with high liver ALP result

[RubySparks]

Took. At to vet today as he has been lethargic and just not quite right for a while - sleeps all day in one spot. Only thing found was high ALP suggesting liver disease. Vet is saying supplements or milk thistle may help, anyone had similar and tried either of these?

I'm thinking of giving a more meat based diet, currently eats dry food, wet food and some leftovers like chicken or mince. Anything else I should be doing? We are back to see vet on Friday so will be discussing options then.

[Vinorosso74]

Our cat has had Denmarin tablets to help her liver, they are a supportive medication. All her liver enzymes were severely elevated last year but there were other issues going on which obviously isn't the case with your cat.
She is back on Denmarin at the moment along with some antibiotics as her ALT enzyme is elevated.
It is possible to do an ultrasound of the liver and a fine needle aspirate sample which can obtain a sample of some liver cells. However, I believe this isn't always the most accurate as it's not always possible to get the affected cells.
There are vets who post on here who may be able to advise better I'm only going from knowledge I've picked up from my own cat's medical issues.

[RubySparks]

Did they say what was causing you cat's problem? And that sounds expensive!

[Vinorosso74]

It was very expensive and exceeded insurance limit too! Our cat had a stone in her bile duct which was inflammed. She was treated for cholangitis and was fine but then she was very ill and were referred to specialist. They cleared out her bile duct, removed gall bladder and biopsies her liver, pancreas and small intestine. She was found to have triaditis (inflammation of all the above organs). I doubt your cat has anything like that as I think all enzymes would need to be elevated so don't worry along those lines.

[RubySparks]

Hopefully not as bad as that, even blood tests today were much more than I expected to pay. It was just ALP that was high but cat definitely not right, he is back to snoozing in his own little corner of sofa.

[Vinorosso74]

No I don't think your boy has anything like that! Vet bills soon add up and with 20% VAT that certainly pushes them up a lot.
I hope they work out what's wrong with your boy. How old is he?

[RubySparks]

He is 9, we have his mum too!

[Vinorosso74]

Still quite young then! Hope he's better soon. It is a worry when they're ill.

[RubySparks]

Just collected some supplements from vet, sachet per day to go on his food. He seemed a bit livlier today, will be monitoring him for a month on the supplements and take it from there. Not sure now if it was ALP or ALT that was raised!

[Vinorosso74]

Fingers crossed it helps. Ours had elevated ALT along with diabetes and is quite a happy soul. Hope your kitty gets better.

[RubySparks]

I have been trying to add the supplement to his food but he is quite suspicious of it! Tried with tuna today and I think he has eaten some.

[Lonecatwithkitten]

How high was ALP? Was total bilirubin elevated and was albumin or total protein affected. An ultrasound would be helpful to see size and shape of liver some diseases the liver gets big others it gets small and an aspirated of abnormal areas can give a diagnosis in many cases.
If it was ALT it can go up in many disease Diabetes and hyperthyroidism would be two big ones.

[RubySparks]

It was 326 I think about twice the level it should be. It was the only thing that showed up on the tests, thyroid ok, no diabetes, other liver tests ok

[Lonecatwithkitten]

Hmm I was taught that liver enzymes you only get excited about if they are three times the top end of the normal value. I would be keeping a watchful eye maybe repeating shortly.