SGPT HIGH COUNT - Page 1

i have a german shephard aged 9 yrs. His SGPT(ALT) count is showing 116,whilst I am told 40 is the upper limit. however,he is eating well,is active,& shows no outward signs of any malfunction.
What should be the line of treatment to be followed? should the vet put him on some hepatic drip & lower the SGPT levels sharply & then switch him to oral medication,or simply stick to oral medication ? He has already been on some liver tonics for the past 3 months.

Was that value from a single testing?  When a blood chemistry value is that far off from the normal ranges and the dog is not showing any clinical signs that are usually associated with an abnormal value, the possibility that the test itself is wrong has to be considered.  Hemolyzed or lipemic serum samples can throw blood chemistry values off, and there's always a chance that the testing reagents were bad or the analyzer machine itself was malfunctioning.    If this were my dog, I'd be asking the vet to send out another sample---possibly even to a different lab--to confirm the results before I'd start starting any aggressive treatment when the dog appears to be perfectly normal.  In the meantime, administering milk thistle extract (silymarin) to aid the liver function is relatively inexpensive and has no negative impact if the dog's liver is actually functioning normally.