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Hello Anon

Thank you for writing.

According to the Mayo Clinic, causes of elevated liver enzymes can include:

* Side effect of medication, such as certain nonsteroidal anti-inflammatory drugs (NSAIDs), cholesterol medications, antibiotics or anti-seizure medications
* Drinking alcohol
* Obesity
* Diabetes
* Elevated triglycerides
* Infection, such as mononucleosis
* Autoimmune disorders of the liver and bile ducts, such as autoimmune hepatitis, primary sclerosing cholangitis or primary biliary cirrhosis
* Metabolic liver disease, such as hemochromatosis or Wilson's disease
* Excessive use of certain herbal supplements, such as kava, comfrey, pennyroyal or skullcap
* Gallstones
* Tumors of the liver, pancreas or bile ducts

A biopsy will certainly let you know more.
best,
Susan