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My dog's ALT is high. Should I keep giving milk thistle for Cushing's?

Updated On September 23rd, 2025

14 year old Jack Russell called Tigger been on vetoryl for cushings disease for about 8 years now & doing well. He had a blood test & his kidneys are back to normal range. I put him on milk thistle for 10 weeks he had a blood test.ALP was 1006 down to 849. ALT was 155 now 326. GLU 7.0 and should be between 3.3-6.1. My vet is happy with results & she said don`t worry about the ALT which gone up.Do I keep on giving milk thistle?or give him a break from the milk thistle.How come the ALT gone up?

2 Answers

Most Helpful Answer

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Answered By Christie Long, DVM

Veterinarian, Certified Veterinary Acupuncturist

Published on January 27th, 2017

I'm with you, and I don't understand why the ALT would have gone up because of the Cushing's disease. Certainly we expect ALP elevations, but typically not ALT, so it makes me a bit worried that something else is going on. That's fantastic that he's been doing well with Cushing's for 8 years! The milk thistle shouldn't hurt, but I would think about maybe doing an abdominal ultrasound to see if some additional problem is present in the liver now, such as a tumor or infection.

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    Answered By Dr. Leigh, DVM

    Veterinarian

    Published on February 1st, 2017

    You could always take him to a veterinary specialist for an abdominal ultrasound to evaluate his liver and determine if additional treatment is needed. He may need an antibiotic and/or an anti-inflammatory to help treat the problem. I am not sure that I would wait an entire year before rechecking his bloodwork and would recommend checking in 3 months to see how the ALP and ALT have changed.

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