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

### input:
My husband is having this in his blood report and also detected as high pP(255) and fasting(189). Please tell is there any liver disease ALKALINE PHOSPHATASE PHOTOMETRY 162.3 U/l BILIRUBIN - TOTAL PHOTOMETRY 0.45 mg/dl BILIRUBIN -DIRECT PHOTOMETRY 0.14 mg/dl 0 - 0.3 BILIRUBIN (INDIRECT) CALCULATED 0.31 mg/dl 0 - 0.9 GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 211.5 U/l M: 0 to 50 - F :0 to 30 PROTEIN - TOTAL PHOTOMETRY 7.99 gm/dl 6.0 - 8.3 ALBUMIN - SERUM PHOTOMETRY 4.39 gm/dl 3.2 - 5.0 SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.22 Ratio 0.9 - 2.0 ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 70.7 U/l M: 0 to 37 - F: 0 to 31 ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 161.5 U/l M: 0 to 37 - F: 0 to 31

### output:

His blood tests show elevation of liver enzymes, which requires further evaluation if he has no know history of liver problems. He should get at least an abdominal ultrasound and a few more specialized blood tests to look for causes of abnormal liver enzymes. Alcohol is the number one cause of liver problems, but there are other problems that can be diagnosed by blood tests (such as hepatitis b, hepatitis C, autoimmune liver disease, medications, etc.). He needs follow up with a liver specialist or gastroenterologist.