Hi Ruth, We haven't met but I was doing a google search on elevated ALT in dogs and one of the results was a post about your dog I believe. The update said he was doing much better after the change to homemade dog food. What a beautiful pooch by the way. I hope you don't mind but I joined the website in the hopes of contacting you to ask how you made the food. My dog Phoebe went in for a small surgical procedure which was cancelled due to an extremely high ALT. We're waiting on further test results but in the meantime I'd like to do what I can to help, not contribute to the problem. As an aside I'm really enjoying the site.  -Lesley D