<s>[INST] Hello Everyone, I have had slightly elevated ALT , AST and Tbili for two years now. I have a hemangioma on my liver , that is of significant size. I am wondering if my elevated numbers are because of this and just continue monitorring or if I should push for more answers. I do have some history of liver problems on my mothers side, but otherwise and a healthy 33 yo female with hashimoto s. please advise. [/INST] Hi and welcome to Chat Doctor. Thanks for the query. Heamngiomas don't cause LFT elevation usually, and I think that you should try to find other causes of elevated Lots. You need to do ct scan and liver biopsy. But slight LFT elevation don't require any treatment, and it should be just followed up. If there is persistent elevation then you need to do more detailed Gastroenterology work up. Till that try to follow hepatoiprotective diet, avoid alcohol and smoking and regulate your body mass. Wish you good health. Regards </s>