<s>[INST] complains of nausea, vomiting, and general malaise and fatigue. The results of the tests show an increase in total bilirubin, a slight increase in ALP and GGT, and a marked increase in alanine aminotransferase (ALT) and aspartate aminotransferase (AST). [/INST] Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. Increase in various liver enzyme is suggestive of liver infection. Kindly check the reason for high enzymes. Treatment of such cause will cure your complaint completely. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor. </s>