<s>[INST] Recent Blood work AST 104 and ALT 59.  I have had fatty liver diagnosis without biopsy in the recent past but typically its always been the ALT that showed elevation. AST has been slightly high in the past but never like this. Does this sound like a problem? [/INST] Hi, I read carefully your medical data and I understood your query. ALT elevation is typically for liver damage instead AST may be elevated from other causes. If I were your treating doctor I would ask you:-what medication are you using- if you are passing flu I would also advise to rule out viral hepatitis performing Bag and Antioch exams would be glad to know other medical data of you. Wishing you health. Chat Doctor.  </s>