He has no symptoms and denies alcohol use. He is 5 feet 7 inches tall and weighs 250 pounds.
Physical examination is unremarkable.
He is not taking any medications except ibuprofen for headache. He has diet-controlled diabetes mellitus. He denies blood transfusions, intravenous drug use, or multiple sexual partners. Genetic hemochromatosis is a likely diagnosis. The fact that his ALT is twice his AST suggests that in spite of his denial he may have alcoholic liver disease.