Conversation: The conversation between human and AI assistant.
[|Human|] I recently had a blood test for liver enzymes whicChatDoctore back high gamma gt 153 AST 103 MCV98 ALT89. At the time I was taking high doses of paracatemol and ibuprofen for period pain The sample was taken on the first day of my menstrual cycle. I also take a multivitamin, iron tablets and st johns wort.  Could the elevated levels be due to any of these factors?
[|AI|]  Hi, Yes, these may cause especially in overdose but if taken as recommended as it should not cause such high liver enzymes from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionally done, then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards,