Is NAFLD always accompanied with elevated liver enzymes?

[Monicka]

I have slightly elevated liver enzymes for 3 months. I’m on diet, I’m taking no drugs and no alcohol but the enzymes are still elevated. I undertook sono (ultrasound) and the doctor said that liver is ok, no damage. I wonder why the enzymes are still higher and how long it may take to bring them down again.

[nash2 Partner]

For many people with NAFLD, particularly in the early stages liver enzymes are normal. I got to stage 4 before I had my first abnormal blood test so it just depends on exactly what is going on in the liver and the varies a lot between patients.