<s>[INST] My ALT is 108.  How worried should I be?  I am on prescription drugs that could be contributing.  I am 61, 5'2", 135 pounds.  I have asthma, controlled high blood pressure, psoriasis, arthritis, generalized anxiety disorder and PAC's.  I take metoprolol, maxzide, singulair, diltiazem and celexa. [/INST] Hi thanks for contacting HCM...You have many problem and taking drug for that...So here you are having drug induce liver affection...So your ALT is high....Take low fat diet and regular exercise done.Exercise also useful for arthritis , anxiety and high blood pressure....Fruits more...Carrot, green leafy vegetables , grapes, apple , avocados, spinach etc..taken more...Perform USG abdomen for fatty liver ...Clinical follow up is necessary....Consult physician for it...Take care ... </s>