ALT has slowly gone up so the hepatitis, if present, is likely progressive so more specific work-up needs to be done. You need serology tests done and a baseline liver ultrasound. If you are taking any new medication(s) in the last 3 months, drug induced hepatitis should be considered. You should be evaluated by a GI doctor and a hepatologist is even better. Good luck.
Answered 7/21/2023
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