Conversation: The conversation between human and AI assistant.
[|Human|] Hello,I am a 57 year old female. I weigh 192 pounds and I am 56. In 2009 my gall bladder was removed because of gallstones. Back then my liver enzymes were elevated. I recently had my enzymes checked and the results were AST 86 and ALT 47. I do not drink alcohol or take any drug or medication. I have been tested for hepatitis and the results are negative. How should I proceed? Thank you.
[|AI|]  Hello, elevated transaminase have several possible causes. In your case it seems you could benefit from an appropriate diet. Fatty liver is a common cause of asymptomatic enzyme elevation, resulting mainly from increased body weight. Your next step should be a liver ultrasound which is an easy way to diagnose the most common conditions related to elevated enzymes. Other tests might be needed depending on the results of the ultrasound. I hope I've helped you. Good luck!