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

### input:
Hi- I am a 40 yr-old femal, an athlete & in very good health/feel great (aside from some chronic pain issues from an accident long ago & high anxiety levels for which I take xanax & neurontin) otherwise (outsanding cholesterol, blood pressure etc), but have a history of excessive alcohol intake for the past 25 yrs. Approximately 3 years ago my ast & alt levels were very slightly raised & an unltrasound (they were checking source of upper right quadrant ache) showed mild fatty liver. I have since dramatically decreased my alcohol intake, and go through alcohol breaks. I still, overall though, drink WELL above the recommeded guides for women on vacation & on most wknds but nothing that seems to raise eyebrows of those around me (other wknds I abstain completely). My liver tests were normal after this up until one in 2/11 until one this past week which was done in conjunction w/ routine physical- at the time I had not had a drink in approx a wk but had a lot the holiday wknd prior. All bloodwork was good except my AST was 54 (alt was 35). I have been using marijuana from a vaporizor for a bit over a yr & also taking hydroxycut recently (I am actually very small but prefer to be about 3-5 lbs less than my current weight) and am wondering if I should have further testing/be excessively worried & also if the marijuana &/or hydroxycut can impact ast levels? Apparently the dr (not my regular) is not recommending further tests, but believes the ast is related to alcohol. I worry that after so many yrs of drinking it s to late for me & that the damage is irreversible (I know most liver tests come back normal when there is a problem & so feel must be something bad wrong if they are abnormal) which causes me to actually want to drink & just give up. Would an ultrasound be sufficient to tell me if I am past the pt of irreversible harm or is a biopsy necessary?

### output:

Degree understand your concerns went through your details. I suggest you not to worry much. I think your opinion is wrong. You are just 40. Your body can repair those damages caused by illicit lifestyle. Give it around 5 years and your body will show you how. Your problems are reversible if you stick to perfect lifestyle. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.