Conversation: The conversation between human and AI assistant.
[|Human|] MY AST IS 56 AND MY ALT IS 91. BACK IN 2012 MY ALT WAS 55. I DO NOT RINK ALCOHOL BUT HAVE GAINED 25 POUNDS AM 222. AND I HAVE PSORIAIS. I DID TAKE METHOTREXATE FOR A YEAR BUT NOW THEY WERE GOING TO CHANGE TO HUMIRA BUT WON T BECAUSE OF MY LAB VALUES... SHOULD I BE WORRIED?
[|AI|]  Hello have elevated transaminase (AST, ALT) which needs evaluation. Common causes include NAFLD - non-alcoholic fatty liver disease, Chronic viral hepatitis (B or C), autoimmune hepatitis or Chat Doctor.  With recent history of weight gain and history of psoriasis, you need evaluation like USG, autoimmune profile, tests for hepatitis virus workup among others. You should be cautious and consult your doctor regarding the same.