Conversation: The conversation between human and AI assistant.
[|Human|] For over than 10 years now my liver enzymes and bilirubin levels been ellavated and after several doctors visits and test results and ultra sound,  I have been told it was due to fatty liver and diet disorder.... after this length of time is there a reason I should be concerned ?
[|AI|]  Hello, If you have fatty liver there are chances you have altered liver function tests, but persistence since 10 years with elevated bilirubin levels, maybe you should be evaluated further to know if its just fatty liver, tour doctor would be telling you what are the ideal tests to rule out anything else (like alcoholism, thyroid levels, cholesterol levels, sugar levels, viral markers such as Hepatitis B or Hepatitis C, in some cases serum copper levels, serum ceruloplasmin levels (only if suspected), ophthalmologist examination, serum Autoimmune markers and finally liver biopsy if everything else is negative), according to your test reports treatment can be initiated by your consulting doctor, in case you have fatty liver with no further changes in the liver than changing your diet with avoiding fatty food and meat and strict lifestyle and exercising will help. Hope I could help you. Thank you.