Repeat it: Alk phos fluctuates and some young men run high especially if it's non-fasting. Your transaminases ALT/AST are a tiny bit high and usually the first step is to repeat the labs off alcohol. Silymarin / milk thistle is worthless in this situation and you should get a screen for Wilson's (urine copper), autoimmunity (ANA etc) and hemochromatosis. Consider getting into physical fitness seriously again
Answered 7/6/2014
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