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Dr Craig Webb's clinical approach to elevated liver enzymes

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Dr Craig Webb is a specialist gastroenterologist from Colorado State University. He found a passion for veterinary medicine after his family cat received excellent treatment at the University of Wisconsin veterinary hospital. This episode provides a thorough and practical approach to managing liver disease in clinic. 

Topics discussed include:

  • ALT vs ALP, what elevations in these enzymes signify
  • The clinical significance of elevated ALT, and what could be causing this
  • The importance of assessing the patient as a whole, rather than the biochemistry alone
  • When should you recheck liver enzymes?
  • Dr Webb's step-wise approach to diagnosis of liver disease
  • Do you really need to check clotting factors before conducting liver tissue sampling?
  • How to approach management when finances are prohibitive 
  • Dr Webb's favoured nutraceuticals for liver support, including S-Adenosylmethionine, milk thistle and vitamin E
  • How diet can be a valuable preventative approach to reducing liver disease risk in certain animals 

You can find Dr Craig Webb at http://www.cvmbs.colostate.edu/directorysearch/search/memberprofile/cvmbs/1059/webb/craig 

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