<s>[INST] Hi Dr, I had a blood check up and i Found my Alt Level to be 85 and my AST to be 49  and The rest is all fine. I eat lots of junk food and i have been taking medication for middle ear and for teeth for a week before the checkup for an exact 6 days :   3 mg of Tylenol ( acetaminophen daily) and   2 10 mg Behastine bills for middle ear infection. I drink occasionaly. Can any of these be the reasone for my elevated enzymes, or should i be worried?thanks alot [/INST] Hi thanks for contacting Chat Doctor ... Noted you have mentioned you are eating too much junk food... Here so you can have high cholesterol and secondary fatty liver or gall stone...USG abdomen done for these two.... By these conditions liver enzymes can be elevated.... Try to cut off oil in diet. Use less oil in cooking. Take limited junk food.Don't eat too much . Fruits more... Daily exercise done... Trans fat like cheese, pizza, butter, no veg taken very less..... Up to safe limit alcohol can be Chat Doctor. Hope your concern solved.... </s>