Hello Dr, I have had slightly elevated ALT levels for years range from 60 to 90. I have had numerous ultrasounds two abdominal MRI's and I even had bloodwork done at your hospital, pretaining to my liver (8 pages worth) no hep or anything. I am MZ for alph 1 my level is 90. Recently my blood work which I get every three months has been steady ALT 55 to 60, my problem is my billirubin has creeped up from 0.9 , 1.2 and just last week out of range 1.6. Mylast MRI was in May liver was normal except for a small 2mm non enhancing liver cyst. I do have numerous gallstones, which I think cause me pain from time to time. O nly med is vicodin once at night maybe 5 x a week 7.5 700. What do u think AST 26 alk 80 albium 5.2..... thanks