Thank you Marianne. I am suspicious as they changed the name of the lab work from another patients name to mine so what you are saying may be exactly right. I am not even sure they have the correct blood work for my dog. I am going to call my Vet's partner who gave me these results today as my Vet is away. I am a bit annoyed as I asked for the LDDS test as that is what the Cardio Vet recommended and for some reason they did not want to give it. Duffy is going back Friday for Liver Bile tests as his Ultrasound shows an enlarged liver and his ALKP and ALT is high again. Denamarine was working well but it seems it is not holding them down as well now (359 and 414). I am sure i will be back tomorrow with more questions after I speak to the Vet. I am learning even with dogs you have to be your own health advocate. Thanks again!