Conversation: The conversation between human and AI assistant.
[|Human|] I received routine blood work back showing an AST of 53 and an ALT of 74. I am hypothyroid, taking 1.0 of Synthroid per day. My TSChatDoctore back 6.3. What would cause the elevated AST and ALT? How likely is it that I have hepatitis or cancer? Can the elevated TSH affect the AST and ALT? I am a non-drinker and take no medications except Synthroid (not even Tylenol). I do take calcium cabonate and vitamin D (several hours after the Synthroid dose. I also use Metameucil wafers twice a day (again several hours away from medication). I am a 57 year old, white female. Other tests came back normal. I had a colonoscopy about 4 years ago, and was diagnosed with IBS.
[|AI|]  AST and ALT are nonspecific tests, which means they could be elevated for many reasons. That includes both hepatitis or cancer. I don't believe the elevations are related to the high TSH. You are in an age group where chronic hepatitis C is commonly diagnosed. Hepatitis C can cause such elevations without a lot of symptoms. If you were my patient, that is one of the first things I would check. At the same time, you could also be checked for other types of hepatitis. Other problems with your liver or problems with your gallbladder might also cause the elevations.  Hope this answers your query. If you have more questions, I would be happy to answer them.