<s>[INST] I have elevated liver enzymes , ASt 233 and ALT 398, but my potassium is low at 3.4L and everything else is normal, except I also have high cholesterol of 217. I am 25 years old, 5 6 and weigh 185lbs. My doctor does not know what it could be, I got a second opinion and still nothing, no explanation. I am worried it could be something really bad. I have never done drugs, and occasionally drink alcohol. Can my gallstones be causing my liver enzymes to get this high? I also noticed recently that under my right shoulder blade I get pain that comes and goes but can last to a whole day,it feels like a knot in my back muscles but nothing helps it. I thought maybe my liver enzymes so elevated could be caused because of me being overweight and having high cholesterol but my doctor and the second opinion doctor disagree. Help me please ? [/INST] Please give me the entire LFT report-including bilirubin and ALP levels. Your SGPT and GOT levels are very high... Yes gall stones can cause this if there is an impacted stone in the bile duct . But there are many other reasons as well. You need to be tested for liver viruses-Hepatitis A, B, C and E. Also you need to get done an ultrasound of the abdomen. Get back with the reports. Hope this helps. </s>