I have a 10 y/o male Cavalier King Chas. Spaniel. I took him to the vet for dental issues – needs a cleaning and a few extractions. His labwork showed elevated ALP and liver enzymes. UA showed dilute urine. (no other symptoms of Cushings) The vet wants to do a full Cushings work-up (ACTH stim test) before he is willing to clean his teeth. However, I am unsure as to whether or not I want to pursue the costly route of treating and monitoring his Cushings, since he has no symptoms or quality of life issues. Is it necessary to do this work-up to make sure he is safe for anesthesia? He suggested Propofol, and I agree it would be best re: his possible liver involvement. But does he need to be medicated for the Cushings before we proceed with anesthesia? I love my dog, but the cost of testing and treatment was a shock! Thanks!
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