Ast/alt ovr 800.pain in bk, vomit, diareah, wgt lose, weak.had all tests inclding liver bpsy-norm!dr.dont want to do ercp due to my sm ducts.any ideas?pls

This is serious: Here's a heads-up... Wilson's disease is easy to miss and a biopsy of a place where the liver is regenerating can look near-normal. Another... Occasionally skeletal muscle disease can raise ast and alt. So can ischemic disease of the gut / liver. Nobody here can diagnose without a full history but i'd urge you to get with a university team for definitive diagnosis if you are not satisfied.