Abby, a 10-month-old female pure Maltese terrier, was referred to Queensland Veterinary Specialists in March 2021 for an investigation of her persistently elevated ALT enzyme levels, which had been detected via blood tests performed by her primary veterinarian.Blood tests performed in November 2020, prior to her sterilization surgery, showed that Abby had an ALT level of 230 U/L. Although at birth she had been the smallest pup in her litter, she had grown well and was physically healthy. There had been no changes in her demeanor, energy levels, appetite, or water intake.
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