<s>[INST] Blood test results- I have high ALT (131) and   high AST (57)  I dont drink alcohol - I am a little over weight 192, I should weigh 175 ish.  I'm 5'8A couple years ago I made inquiry to new life insurance and was denied coverage. My liver ALT was at 1100, I supplement treatment from a natural medicine doctor. liver cleansing, detox and thistle mix.  afterwards I re tested and my ALT moved to 90.  Now its up again. At that time I had a sonogram of my liver and it came back showing a fatty liver.I like to know whats going on.  Otherwise I feel healthy, but a little over weight. [/INST] Dear Friend.Couple of years back , your ALT was 1100 !!!!  Have you added an extra 0 by mistake or it was that. If it was that , you probably had Viral Hepatitis that time.Since , now also , your ALT / AST are raised , with Fatty liver , we need to find the cause , since you are not alcoholic , and i suppose you are not taking any medicine including NSAIDs like Acetaminophen , Paracetamol.We need to rule out a condition called as NASH (Non Alcoholic Steatohepatitis)\I suggest you following investigations :1. Viral Markers 2. Complete LFT3. PT/INR4. KFT5. ANA.Review with us , with these reports as well as , with detailed history.Stay Healthy </s>