The doc checked my isoenzymes for bone, liver, intestine, and placenta (!) and they all came out normal. As did my reticulocytes, my lipid levels (cholesterol, triglycerides, and HDL and LDL). The ALP dropped by one point over last test, too, which I guess is better than rising
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Are you sure that fatty liver can't explain elevated alkaline phosphatase? I thought that was one of the possible causes. I have to go catch a plane in a few hours, but I will try to see if I can find anything about this when I come back.
It is true, though, that when I was having fatty liver problems, my alkaline phosphatase wasn't elevated, although my other liver enzymes were. The liver is constantly remodeling itself, and it releases enzymes as it does that. So, anything that stresses the liver tends to elevate various liver enzymes.
Whatever is going on, I hope that the doctors find some answers for you!
As for giving pills to cats, yeah, it is really tough. I generally haven't had much luck with it. Some cats will eat pills in soft cat treats, or in these special treat-things called "Pill Pockets." When Purry was ill, the vet sold us a device for sticking the pill way down her throat, so she wouldn't bit us as we tried to put the pill in. It helped quite a bit -- maybe a local vet could sell you one? (It was ( ... )
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The problem is catching him. Every morning and every night is an exercise in who can outsmart whom. The vet told me to put him on a table or something so he feels uncomfortable, which gives me the advantage.
So I stick him on the back of the couch and poke the pills down his throat. And I've had to empty the pills out on the table next to the couch so that he can't see or hear me get the pills.
Now I just randomly grab him and the pills are right there, out of the bottle, ready to be stuffed in his craw.
We'll see which evasive method he comes up with next.
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