Hi I am new to this forum. My teacup poodle Joli is 14 months old, 2.2 lbs. very happy healthy puppy. Got blood work done prior to Spaying her and her liver enzymes were elevated. ALT was 444. Vet told me I needed to get another blood test - over $300 cdn where she fasts and they redo the test. I did that yesterday. Called breeder and no know birth defects ever in any of her puppies. I heard this testing sometimes goes on and on and costs a lot of money and then its chaulked up to environmental. I am so hoping the results come back positive but if they are still elevated what is the next step I wonder??? Needless to say Spaying is now on hold.