Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I received my blood test with elevated ALT 49 and AST 41 levels. I have always and even up to a month ago had ALT and AST levels in the 20s range. I am a 34 year old female. I have currently reduced my synthroid medication from 50 mcg to 25 mcg. Other than that, I haven t changed anything else. I recently am also dealing with an infection with my lymph nodes in my neck. Should I get tested for hepatitis? I keep reading online that elevated liver enzymes (ALT and AST) means you could have hepatitis. Or could this be caused by the reduction of my synthroid thyroid medication?
[|AI|]  His per your letter, your ALT and AST are mildly elevated. No need for further evaluation regarding this. These enzymes are elevated not only in Hepatitis, but also on many other diseases. So, There is no need to test for hepatitis now. There is no relationship to the reduced dose of Thyroid medication. But, Enlarged Lymph nodes in the neck have to examined and evaluated. It may be due to simple infection or Tuberculosis or Cancers like lymphoma please consult your surgeon and proceed. Wish you good health