<s>[INST] Im a 37 year old male that has always been relatively healthy and active. in 2011, my liver enzymes (ALT/AST) were higher than normal and i went on a rigorous plan to change some of my recent habits. Although not a big drinker, i cut alcohol out completely. I began eating better and getting back to being active and i lost 25 pounds and my ALT/AST numbers went back to normal - after about 6 months. Yet, my 2012 lab work, my GGTs were elevated. And, as a result of a recent lab test, my GGTs have increased even more. What causes that and how can i centrally focus on getting back to normal? [/INST] Hello! Thank you for the query. Liver enzymes can get elevated due to bad diet (fatty foods, spicy foods), alcohol intake, some medicine use (most of the painkillers), gallbladder diseases (like gallstones), liver viral infection (HBV, HCV infection). As your GGT level has rose again, you should rule out other than diet possible reasons of its elevation. GTP, AP, amylase, lipase, urine amylase, Bag, Antioch levels should be checked. Abdominal ultrasound should be also done. You should avoid fatty foods, fried foods, spicy foods, alcohol, medicines. Liver improving supplements available without prescription can be also helpful in its regeneration. Hope this will help. Regards. </s>