<s>[INST] my 14 year old daughter was diagnosed with henoch schonlein purpura 1 1/2 years ago.  she is now on methatrexate injections weekly.  we were called with a report that her liver enzymes were elevated this time.  we knew that sed rate levels and kidney ketones were the major things to look for, but were unsure what elevated liver enzymes do.  Can you answer that question? [/INST] Hi thanks for asking question. Noted your child taking methotrexate injection since approx 1 years here it can be Chat Doctor. So enzymes can be high... Regular follow up with report necessary. Take low fat diet. Fruits more... Green leafy veg more. Refined food taken very less... If continuous increasing enzymes level then complete LFT profile and according to examination further work up done... Hope your concern solved. </s>