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High amalyse and lipase - what can it be?

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Besides pancreatitis that is?

Vomit bile in the morning - thought it's bilious vomiting syndrome
after vet visit (highly stressed) she vomits 4x, and first time ever refused food
bloodworm came back with high numbers for Amalyse and Lipase.

Vet wants to take a pli or cpl test to confirm if it is pancreatitis. Since the pup is so stressed at the vet i decided not to do it. it's a newer test and back in the day they based the diagnosis off the blood tests anyways.

So i'm hoping others can share what other things could cause the elevated numbers?

Even if we took the test to confirm, there is no cure and we'd try the low fat diet.