### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi there I am a 26 year old female and have just had my blood results back, all of blood cell counts are normal but my AST level is at 64 and the normal level is 35 and my ALT level is 84 and the recommended level is 37 . Is the alarmingly high? I had a very bad hang over a week ago and was vomiting bile and have not touched alcohol since. I work out at the gym and eat very healthy. Two weeks ago i also finished a one month course of amoxicillin to help with the acne on my neck. I have been experiencing aching mussels in my upper shoulders but this has gotten slighter better with passing time over the last week. Could my main factor be alcohol? As i am only 53kgs and my tolerance is very low. How should i proceed in this? Should i go and have further bloods done to test for further things? I am cutting out alcohol completely from my diet so in a month should i go and get re tested and see if my levels have changed? Thank you for your time.

### output:

Thanks for writing in Chat Doctor ! I have read your question carefully and from my experience I can say that your elevated liver enzymes are mainly due to alcohol use. Although your enzyme level is not alarmingly high but surely quitting alcohol will go a long way to keep you healthy. Another reason of increase in liver enzymes can be amoxicillin, as almost all Chat Doctor.  This is not to be taken seriously, and they will go down on its own (as you have stopped amoxicillin and alcohol both). The muscle aches can be because of alcohol use, and it is already showing improvement since you stopped using it from past one week. If it comes back, one may need to look for other causes for this. Had I been at your place I would: 1?  Go for an ultrasound abdomen to get a clear picture of liver condition 2. Get blood test again after few weeks to check my AST/ALT levels Hope the answer helps you. Please feel free to ask more regarding this.