Hello- I would really appreciate some advice. In January, I was being evaluated by my gastroenterologist for IBS (nothing new, issues I've had for decades), and she ran some comprehensive bloodwork. Everything was normal except my Liver ALT came in high at 43. (I have no history of elevated liver enzymes, and I know for sure in December of 2019 my ALT was 15). My GI doctor then ordered additional bloodwork to be done a few weeks later (checking for hepatitis, etc., and repeating the liver enzymes) as well as an abdominal ultrasound. The ultrasound was normal except for the discovery of a hepatic cyst which, from what I can tell, is a benign type that should cause concern or elevate the enzymes? The second round of bloodwork was negative for everything EXCEPT, the Liver Alt was now higher than before at 65!! I can't talk to my doctor until next week and I am freaking out. What could be causing this?? I'm attaching all the recent test results. I'm a 48 year old woman, healthy weight, but with a very limited diet due to digestive issues (all health food, no sugar, but very little variety, only about 5 foods). Other diagnoses: IBS, Migraines, POTS, Chronic Fatigue Syndrome, Fibromyalgia I have never drunk ANY alcohol and never smoked or used drugs 10 days before the first blood test, I had had a migraine for which I had to take a few days of round-the-clock Tylenol, so I thought that might have been the cause of the elevated enzymes, but this time I had not had any Tylenol since then and my numbers were higher. I take Vitamin D3 50,000 once every other week. About a month before the first bloodwork I had started back on Enzymedica Digest Gold Digestive Enzymes. I then stopped them for 2 weeks before having my bloodwork done (since I was also having stool tests). After that, I went back on the Enzymes so had been using them regularly when the second round of bloodwork was done (I have now stopped the enzymes again due to candida issues). I couldn't find much online about digestive enzymes causing elevated liver enzymes, but I'm attaching the ingredients list just in case. As I said, I will be talking to my GI doctor next week, but I would really love some input and guidance from a specialist. I'm really scared this could be something serious, liver cancer, etc... Thank you.