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

### input:
Any doctors or nurses out here. that would give me advise ? I am once again confused and upset. The Dr told me that I had a fatty liver and that in order to get better I had to diet , I am pre-diebetic and so I went on a low fat diet. I was put on asacol, it has been a few weeks and I have fallen ill with bronchitis and Now - Plueirsy. My regular dr did bloodwork and it shows high liver enzymes and NOW low protein. I am in terrible pain with the lung condition and often can hardly make it through the day, I come home and go to bed for the rest of the night. I am feeling sick to my stomach and severe fatique. I am at my wits end My mother says that I need a different dr, I just don t know. I am trying to loose weight, and its not helping so far.. I can stand to loose around thirty pounds ( I am 5 4 and weight 160) Do you think that the pain from my pluresy is connected to my liver problems?

### output:

I have mild fatty liver and insulin resistance (prediabetes) I started on Metformin ER and I started taking milk thistle.  My glucose levels are better, and my liver enzymes have been normal now for the LST 18 months.  I wanted the Metformin ER because diet and exercise wasn't helping with glucose levels or weight loss, I lost 15 pounds on the Met ER too. I got this info from the link below " Metformin (Gluconate) and rosiglitazone (Amanda) are oral glucose-lowering (also known as hypoglycemic) medications used to treat type II diabetes.  These medications work by correcting insulin resistance.  Therefore, these types of Chat Doctor.  In fact, preliminary studies have shown that treatment with metformin can improve liver enzyme elevations in people with NAFLD."