Conversation: The conversation between human and AI assistant.
[|Human|] I received the results of my ALT--78 (29), AST--47(30). I not a drinker, smoker, drug abuser. Received vaccine for Hep B. All other labwork was normal. Progresterone levels were low-normal. What could cause this? Ht--5ft 4inches; Weight --150; Blood pressure--normal
[|AI|]  Hi! Mildly elevated ALT & AST levels in asymptomatic patients are commonly seen in practice. Alcohol obviously, isnt the culprit in your case. In my practice I look for Non-Alcoholic Fatty Liver in cases similar to yours. An ultrasound of the abdomen reveals it. Among other causes are medication induced liver injury, hepatitis C(presuming the hepatitis B vaccine is working). Then there are a few rarer liver disorders (hemochromatosis, Wilsons disease, autoimmune hepatitis, alpha -1 antitrypsin deficiency). Conditions not directly related to the liver but still leading to elevated ALT/AST levels include thyroid disorders, celiac disease, muscle disorders and red blood cell breakdown (hemolysis). Do write in for more info. Best of luck!