Conversation: The conversation between human and AI assistant.
[|Human|] I recently had elevated liver results and so they tested for Hepitis and that was normal... EKG also adnormal and said something about doing a 24 hr holter monitor . This is the third time both test were abnormal and my regular doctor always stops after doing the same test. I m 32 5 3 215lbs. I have had normous health issues throughout life. I had Hasimotos and thyroid was removed but those test were normal. Just wondering what should I do to get past the routine of doing the same test and getting no answers.
[|AI|]  Hello, First there are many causes of elevated liver enzymes. I suppose you were tested for one of the most common ones which are the viral hepatitis (Hepatitis B and hepatitis C). The fact that you had Hashimoto thyroiditis, which is an autoimmune disease (where your body attacks itself), is a risk factor for having concurrent Autoimmune Hepatitis. This can be tested by blood tests (ANA, AMA, ASIA, etc.), but may require a liver biopsy. Other causes considering: alcohol intake, iron overload, medication induced hepatitis, fatty liver (common in diabetics, overweight people). If no answer is obtained with lab work and ultrasound of the liver then I would recommend you going for the liver biopsy.