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So heres some information about what toxins cause elevated liver enzymes in dogs Medications Drugs like phenytoin and phenobarbital prescribed for seizures, as well as any other drug, including heartworm medication and anti-inflammatory drugs, can result in abnormal liver enzymes, so if your dog is on any medication your vet should always consider whether that may be the cause

Using a footstool to achieve a more squatting-like position during defecation can help optimize the anorectal angle

The Guideline 2024 multi-society guidance endorses continuing GLP-1 receptor agonists for most patients when teams evaluate and mitigate risk