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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

Space them by at least two hours or use on alternating days during the adjustment period

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Jill, I have been experiencing really bad IBS symptoms in the last 2 years