Any variety of liver disease can elevated the enzymes. Hepatitis is not normally checked during insurance physicals.
I would test for this, as well as obtain an ultrasound to image the liver.
If the enzymes continue to rise, or the elevations persist, a liver biopsy would not be unreasonable.
Followup with your personal physician is
essentialEssential balance
Essential hypertension
Essential tremor.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com