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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

PMCID: PMC6826576 Ritelli M, Cinquina V, Giacopuzzi E, Venturini M, Chiarelli N, Colombi M