CHOL stands for cholesterol, and ALT is a liver enzyme. Your dog has a kidney problem, with some liver involvement. The elevated cholesterol shows me that your dog is likely hyperthyroid, so I would not be surprised if he has skin and ear issues. The pancreatic values are not so bad. I would suggest you address the thyroid issue first, as the other values often improve after that. I would start him on milk thistle for the liver and kidneys. I would also put him on some Chinese herbs, such as Rhemania six and Standard Process Canine renal support.

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