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That is great news that you don't have any liver damage or fatty infiltration. However you do have some inflammation happening as is evidenced by your raised enzymes.
You still have some undiagnosed reason for those enzymes to be that high. Whatever it is so far has not damaged your liver.
I'd see a heptologist. There are other issues aside from fatty liver and existing damage to consider.
Wouldn't they have seen inflammation of the cells under a microscope? The GI doc said there was no follow up except with my primary doctor, so I suppose I'll ask him about it.
I should also say that I have had every type of diagnostic test for the liver and all have come back normal, except the ALT/AST. I just can't imagine that a hepatologist would be able to do anything that hasn't already been done. I would go to one if I had symptoms or thought that my GI doctor wasn't any good, but he says that I don't have anything to worry about and my family doc says that he is the one of the best GI docs in the Kansas City area. So I am not to worry about it, but I will ask my family doc what he thinks about follow up with a liver specialist.
You still have some undiagnosed reason for those enzymes to be that high. Whatever it is so far has not damaged your liver.
I'd see a heptologist. There are other issues aside from fatty liver and existing damage to consider.