<s>[INST] Yes, I have RA and have been on Cimzia and Advil and for the first time in 4 years of taking biologics my liver enzymes are slightly elevated. I have taken three tests now in the last 2 months and they are still elevated... I do not drink much at all. I used to eat one to two salads a day but precisely 2 months ago I got sick of the salads and started eating more carbs... I hate the idea of stopping the Cimzia and really am dissapointed that I cannot start the Methotrexate until my liver enzymes get under control. (I want to stay in remission and keep working full-time and have a normal life and the idea of combination therapy was my hope and goal.) Any advice for improving these numbers besides what my Rheumy recommended which was no more Advil and no drinking at all (which again is a moot point for me, I m not much of a drinker at all.) [/INST] Hello.Besides of your rheumatologist said you, drugs  as acetaminophen and overweight-obesity also increase liver enzymes.Although both drugs cause elevation of liver enzymes may be used together and only if the elevation of  liver enzymes is very high,the treatment is disrupted.I wish you good health. (If the answer has helped you, please indicate this) </s>