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

### input:
this the result of recent Liver Function Test ALKALINE PHOSPHATASE PHOTOMETRY 197.4 U/l M:53 to 128 - F:42 to 98 BILIRUBIN - TOTAL PHOTOMETRY 1.12 mg/dl 0 - 1.2 BILIRUBIN -DIRECT PHOTOMETRY 0.26 mg/dl 0 - 0.3 BILIRUBIN (INDIRECT) CALCULATED 0.86 mg/dl 0 - 0.9 GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 404.3 U/l M: 0 to 50 - F :0 to 30 PROTEIN - TOTAL PHOTOMETRY 8.7 gm/dl 6.0 - 8.3 ALBUMIN - SERUM PHOTOMETRY 3.65 gm/dl 3.2 - 5.0 SERUM ALBUMIN/ GLOBULIN RATIO CALCULATED 0.72 Ratio 0.9 - 2.0 ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 110 U/l M: 0 to 37 - F: 0 to 31 ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 66.6 U/l M: 0 to 37 - F: 0 to 31 Pl analyse and inform my state of liver

### output:

Hi, your alkaline phosphatase is slightly elevated and the GOT / SGPT as well. There are multiple reasons for this sort of enzymes elevation, however this is not normal, and you should get further testing. Whenever I see a pattern of enzyme elevation like yours I think of medication induced toxicity, or autoimmune liver diseases such as Primary biliary cirrhosis and primary sclerosis cholangitis. Please follow up with your liver doctor for further recommendations. You also need a liver ultrasound or CT scan to make sure you don't have any lesions in your liver. Hope that helps.