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

### input:
I was diagnosed with a fatty liver back in 2001 when I had my gallbladder removed. Since then , there really have t been problems except diarrhea on occasion. Recently my liver enzymes were elevated..with bilirubin normal. Ggt was over 2000. I went gor an abdominal ultrasound yesterday, and I am very nervous. I have been a drinker, but never thought to an excess. I had no symptoms prior to the bloodwork. Can you tell me what might be going on? I also have ake many medications, and have a history of drug abuse...not shooting up at all. I was taking 4 different opiates a month as prescribed. I am currently in Subutex treatment. My health has been worse since this treatment began 2 years ago. I am totally disabled...I was just awarded this month for a diagnosis of Avascular Necrosis.

### output:

Hello, Elevated liver enzymes occur due to severe liver inflammation due to excessive alcohol intake, autoimmune disorder, disorder due to gluten sensitivity or Celiac disease, being alcoholic, Obesity, certain medications like Tylenol, statins, non-fatty alcoholic liver disease, CMV or Liver cancer.  Avoid eating fried food, red meat, cut on alcohol, sugar, avoid white flour. Take walnuts, Avocado, olive oil, sunflower seed, tofu & greens, avoid junk food. Stay away from addictions if any. Get physically examined, get all liver function tests & other blood workouts done. You may have to get Imaging tests & biopsy done too. Your treatment will depend upon the pathology detected.  Hope I have answered your query. Let me know if I can assist you further. 