Yes: Both lipitor and fatty liver can elevate those liver enzymes mildly. To determine which is the culprit, you'll have to discontinue lipitor for 2weeks and recheck alt and ast to see if they return to normal. A gastroenterologist can advise you best about the fatty liver and whether continuing lipitor is beneficial or harmful for your fatty liver even if it causes mild elevation of those enzymes.
Answered 12/16/2017
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