My alt was elevated to 49 in 2009. now is elevated to 89. my doc don't know why? what could this be and should i be worried? hepatitis?

Find cause: If you're overweight and have polycystic ovary disease, the smart money is that this is metabolic syndrome and you'd be doing yourself a huge favor by adopting an aerobic-fitness focused lifestyle -- this would be serious and fitness is your best rx. You will probably be checked for hepatitis b and c, hemochromatosis, wilson's and autoimmune hepatitis.