Conversation: The conversation between human and AI assistant.
[|Human|] My 9yr old daughter has an elevated liver enzyme. they have checked it twice(all I know is the Dr. said it was in teh mid 500) and they say it MAY be a growth spurt. No wthey want me to give her 400IU of vitiman D for six weeks and re-check. should I seek a second opinion? She is 5 3 weighs 145lbs. she also is adopted so we know very little familyhistory
[|AI|]  The important question here, why they did a liver enzyme ? Did she have any illness in current time ? I believe she is obese 145 pounds for a 9-year-old kid, it might explain the elevated liver enzymes in the absence of any other information, that's why sever obesity can cause fatty liver which can appear on abdominal sonography, the surrounding tissue might get inflamed and cause this elevated enzymes but detailed history and complete physical exam will reveal the cause. I hope this helps