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Recently, many other biological factors have been proposed to explain PE including genetic vulnerability 7, 8 , robust cortical representation of the pudendal nerve 9 , disturbances in central serotonergic neurotransmission 10, 11 , and thyroid diseases 12, 13

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These tests may offer additional signs that point to possible Cushings High alkaline phosphatase (ALP, SAP) High alanine aminotransferase (ALT) High cholesterol High blood glucose High neutrophils and lower lymphocytes Protein in urine Low specific gravity of urine (diluted because your dogs drinking too much) If your dog does have some suspicious lab results as well as some of the symptoms I listed, then your vet may do some more testing