Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am 30 years old, live in Brazil and more than 10 years living with rates of high GGT and ALT, and they come and go frequently. The GGT reaches 700 and 500 the ALT. Actually I was already in various medical and match any of them can tell what it is! What do you think about it?
[|AI|]  Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.GGT I sliver enzymes usually increased in liver damage, especially alcoholic liver damage. If other findings bilirubin and AST and ALT are fine then alcohol is the most common cause. So the next step is to look for certain liver damage and most common cause is fatty liver disease beside alcohol. 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 additional 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. Kindly regards. Wish you a good health.