Hello,
I am in need of advice. I have had mildly elevated liver enzymes and can’t figure out the cause of it. I have been tested for everything and anything related to the liver (autoimmune, hepatitis, liver diseases) I have had a normal ultra sound and fibroscan. All lab work is normal except AST and ALT is elevated (127/90) taken after a strenuous workout. I don’t drink alcohol or take any medication except vitamin D. My GI doctor wants to do a liver biopsy. But I don’t want a biopsy done. All of my clinical work up is normal. Can exercise cause increase of liver enzymes?