The Bile Acid Test



Today, as promised, I’m explaining what a bile acid test is because I will be getting one in a few months. There are two blood tests that can help determine how healthy my liver is. One is called a liver enzyme level & the other is a bile acid test. The liver enzyme test can indicate the degree of inflammation or damage. A bile acid test measures how the liver functions & if it is working properly. A healthy liver will recycle bile acids, a damaged liver wont. Doing a bile acid test will reveal if enough healthy cells are present, if the blood supply to the liver is adequate & if bile moving through & out of the liver properly.

The liver secretes bile which is needed for proper digestion because it breaks down fats. During digestion bile acids are released by the gallbladder where they are stored &  get absorbed by the intestine, then the bloodstream. If the liver is functioning properly, the bile acids are then removed from the bloodstream & returned to the gallbladder until they are needed again. This is called Enterohepatic Circulation.

I’m having this test done because the medications I have to take daily are known to be stressful on the liver. More so over time & I am getting older. When I have my test done, huMom says I’ll have to fast, which is pawsitively displeasing to know. Not only that, I can’t even smell food because we don’t want my tummy waking up. My good vet will take a blood sample & then my good Vet or Vet Tech will feed me a small fatty meal . Two hours later, my vet will take a second blood sample.

The two blood samples will be compared to show before & after meal levels of bile acids. If they show blood levels of bile acids that are high, this means that my liver isn’t doing its job as well as it should & huMom will work with my vet to get my liver healthier. However, we are staying pawsitive & hoping for a low bile acid count.

huMom understands, this is part of living with canine epilepsy. My medications are life saving but they are harsh on my body. Which reminds me, today I’m 163 days seizure free. I’ll be pup-dating you soon on huMom’s thoughts about my CBD oil & I’ll share what I’ve sniffed out about what, if any effect they have on the liver.

CEO Olivia

More Tests for Our CEO Olivia


After talking to my Vet, we decided to book another ALP (alkaline phosphatase) test in three months.  ALP is an enzyme that helps break down proteins. The body uses ALP for a wide range of processes, & it plays a pawticularly important role in liver function. We have also included a Bile Acid test which will give us more information about how my liver is functioning.

Hi everyone, CEO Olivia here.  Many of you know that I live with idiopathic canine epilepsy, being diagnosed when I was just 1 year old. I have to take several AEDs (anti epilepsy drugs) daily.  One of them is called phenobarbital. Long term use of this drug can negatively effect the liver.

Recently, my bloodwork showed a slight elevation in my APL levels.  My vet isn’t overly concerned by the number, she reminded huMom that Phenobarbital can turn on the production of ALP.  Phenobarbital can benignly cause an elevated ALP, but as I mentioned it can also cause liver damage over time. Because of this we have dogcided to more testing so we can differentiate between a benign or toxic liver change. An increase ALP can also signal a gallbladder or bile problem or a tumor in the liver.  More testing will help huMom understand what is going on so we can move forward proactively. We even discussed pawtentionally meeting with my neurologist if necessary.

In the following weeks I’ll dogsplain what a Bile Acid Test is, how it works & why I’m having one done. I’ll also be barking about something called Euthyroid Syndrome which can be caused by phenobarbital. I also will be addressing those who have concerns about how CBD oil can effect the liver.

CEO Olivia