37 yr male; lyme dis, cp, untreated hbp (165/110); very elevated liver enzymes. lipid panel ++.'trii 850, low t. ;tests ordered. what could cause?

Multiple causes: I'm not sure what you are asking. Cause what? Lyme is caused by a bacterial infection, hbp is often genetic but has many other possible causes, there are many possible causes of elevated liver enzymes (infections, alcohol, reactions to meds, toxins), high lipids usually genetic, low t also has many causes; you need a thorough evaluation and careful treatment, as this mix of problems is serious.