Jackson is a 12 year old m/c lab mix dx'd with lymphoma in January and began tx at a local hospital. He did not tolerate the chemo, stopped eating, had steady diarrhea and lost a lot of weight coming in at 39#. He was on prednisone, ondansetron, metro, acid reducer, cerenia, immodium, mirtazapine and laverdia. Initially his tongue was thin, red and pulses were rapid, thin and slightly wiry. He was literally skin & bones. I was not hopeful.
We started acu, rice congee (I know this isn't low carb but he needed to eat) and slowly transitioned to cooked meat and eggs along with a high protein kibble, Si Miao San and Liu Jun Zi Tang and over the last 5 months I have been able to eliminate most of his medication - still on prednisone 10 mg M&W&F, the 2 herbals, proviable, rx clay and sucralfate. His pulses have become more moderate, his tongue is more normal and he is eating well and looks great. Peripheral ln wnl, stools normal. He is 54#
So here is my dilemma. His blood work now shows increased ALT 273, SAP 329, BUN 55, Creat 1.9. UA no protein, urine C&S negative. We have an u/s scheduled for this week. I started to decrease the Si Miao San 1 week ago. The ALT and SAP could be from the pred, but the increased renal values were a surprise.
As always, I appreciate your knowledge and advice. Without the BW I would think he is perfectly normal!