Conversation: The conversation between human and AI assistant.
[|Human|] Ive been going to the doctor for a few years now dealing with elevated liver enzymes.  Whenever my liver enzymes go up, I am in extreme pain and I vomit until there is bile.  I am usually admitted in the hospital.  My liver enzymes (ALT and AST) sometimes reach over 1000. All of my scans come back normal.  My hair also falls out, I itch really bad and Ive starting to lose weight way too fast.  I have been to a hepatologist and a gastro doctor.  Im frustrated and scared because there is no way to tell whe my liver enzymes will go up again.
[|AI|]  Hello .... I really understand your anxiety, but firstly the reason for your elevated liver enzymes should be evaluated, can u please tell us what is your age? Since how many days do you have elevated liver enzymes? Do they normalize and then raise up?  How is the pattern of your liver enzymes, do u have a history of blood transfusions ? History of jaundice in the family? (Or similar history on the family) What are the color of your stools?(Are they pale)If you can provide us with this history I can tell you was can be done to evaluate the problem. Thank you.