Referred to gi since alt last 6 months was 76, 63, and 59. mild hepatic steatosis on us. is it necessary to see one? don't want to and costly.

You decide: I am going to assume that hepatitis b and wilson's have been ruled out -- if one of these is the cause, you're in grave danger. I'll also assume that eliminating alcohol did not normalize your alt. There's a few rare genetic illnesses a GI doc could pick up. You have the option of going back to a fitness-focused lifestyle and seeing what happens -- this is a mainstay of treatment for nash.