<s>[INST] Hi I just results back for a Gamma Gt blood test. It was in the 500's I have an a1c about 10.4 am 100 lbs pounds over weight. I am a 56 year old male. I have some high alt levels 103  and sgpt 70 / ast 88  and sgot 80 in the past. Was told I have a fatty liver. Can you tell me if I might have cancer. I am on several meds. Prevacid 20 years,metformin, asprin, lisinopril, flomas, advair disk, Humerlin 500 and a few others. Please help, very concerened [/INST] Hi and welcome to HCM.Since you take many medicines and some of them are hepatotoxic, this elevation of gGT is probably caused by these drugs and fatty liver both. Cancer would have some other symptoms,but you must do some imaging tests to rule this out. US or CT scan. Till this you should only change dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest to go step by step. Wish you good health. </s>