Hello, I was wondering if somebody could help me find causes for my mildly elevated liver enzymes. It started with blood work that showed my ALP at 188 (normal u/l 115) and my other liver enzymes normal. I was asked to retake two weeks later and ALP was at 231, AST was at 43 (normal u/l 30) and ALP was at 54 (normal u/l 29). My doctor ordered an ultrasound which showed 3 lesions and questionable fatty liver. He also tested me for all three HEP viruses which came back normal (no virus). He recommended me to go to a GI. The GI ran a multitude of blood tests - IGA, IGM, smooth muscle, AMA, ceruloplasmin, ferritin, the irons, markers for celiac, markers for arthritis, bilirubin, albumin, etc and all came back normal. He also ran the alpha fetoprotien marker for the lesion which came back normal. But now my ALP is at 213, AST is at 40 and ALP is at 59. He's suggesting another blood test next week and if still elevated a liver biopsy. We are waiting for MRI to be approved to figure out lesions as well. I'm not taking any medicine and the only thing I've changed since the second blood test is I started taking tumeric and milk thistle which apparently had no effect either way to help my liver. Anybody know any other causes other than fatty liver - I don't have the characteristics for it. No alcohol for normal fatty liver. No obesity, diabetes, high cholesterol, metabolic syndrome for NAFLD. Thank you for your help.