What are causes of high liver enzymes and can a liver biopsy tell you what is wrong if blood work comes back normal

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