<s>[INST] i was just notified that my blood work came back with high numbers in an elevated liver.. So my question is is my swelling in hands and feet extreme gain weight tired and fatigue all these symptoms combined together are from this elevated liver count ? [/INST] Hi, dairy have gone through your question. I can understand your concern. You have elevated liver enzymes. It can be due to fatty liver, hepatitis, cirrhosis, alcohol, Chat Doctor.  You should go for complete liver function test and ultrasound abdomen. It will give you exact idea about cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ </s>