https://www.vetsurgeon.org/f/clinical-questions/27029/pancreas-results Hi These are from a Chow, starved 12hrs, history of intermittent diarrhoea. TLI &gt;50ug/l (high) GGT 18 IU/L (High) Amylase 467 IU/L (low) Lipase 47 IU/L PLI 235.2 ug/L (High) Folate 11.04 (High) B12 358.1 (normal) There was a milden-USTelligent Community 10https://www.vetsurgeon.org/thread/197603?ContentTypeID=1Thu, 24 May 2018 14:37:46 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:28fceb3b-1869-47db-8c97-171e3c21a895Andrew Kent<p>Hi Mark,</p> <p>It could be pancreatic disease but TLI and PLI elevations can also be seen with inflammatory (or other) gut diseases so it may not be the primary issue.</p> <p>How old is the dog? Any vomiting? Abdo pain? Weight loss?</p> <p>Ideally an abdominal ultrasound might be useful here and, depending on findings, an exclusion diet trial might be a good starting point. I also supplement B12 at that level (I supplement anything less than 400 ng/L).</p> <p>Andy</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/197602?ContentTypeID=1Thu, 24 May 2018 14:01:43 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:a8fb1a16-15bc-4790-a90f-ce8ca226d1eeBob Russell<p>Or pancreatitis secondary to gastrointestinal disease!</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/197598?ContentTypeID=1Thu, 24 May 2018 13:00:34 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:2702f1d2-cddf-409c-ae63-3376044f3ac2Kate Richardson<p>Band neutrophils suggest active inflammation so more acute pancreatitis or acute on chronic?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/197597?ContentTypeID=1Thu, 24 May 2018 12:59:35 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:6e982a42-4fb7-4758-8520-1f6ae8407c94Kate Richardson<p>I&rsquo;d say it has pancreatic issues but whether that&rsquo;s the cause or sole cause of the diarrhoea is another question- appetite? Abdo pain? Weight loss?&nbsp;</p> <p>I&rsquo;d do a faecalanalysis &nbsp;and abdominal ultrasound&nbsp;</p><div style="clear:both;"></div>