Hi- I am a 40 yr-old femal, an athlete & in very good health/feel great (aside from some chronic pain issues from an accident long ago & high anxiety levels for which I take xanax & neurontin) otherwise (outsanding cholesterol, blood pressure etc), but have a history of excessive alcohol intake for the past 25 yrs. Approximately 3 years ago my ast & alt levels were very slightly raised & an unltrasound (they were checking source of upper right quadrant ache) showed mild fatty liver. I have since dramatically decreased my alcohol intake, and go through alcohol breaks. I still, overall though, drink WELL above the recommeded guides for women on vacation & on most wknds but nothing that seems to raise eyebrows of those around me (other wknds I abstain completely). My liver tests were normal after this up until one in 2/11 until one this past week which was done in conjunction w/ routine physical- at the time I had not had a drink in approx a wk but had a lot the holiday wknd prior. All bloodwork was good except my AST was 54 (alt was 35). I have been using marijuana from a vaporizor for a bit over a yr & also taking hydroxycut recently (I am actually very small but prefer to be about 3-5 lbs less than my current weight) and am wondering if I should have further testing/be excessively worried & also if the marijuana &/or hydroxycut can impact ast levels? Apparently the dr (not my regular) is not recommending further tests, but believes the ast is related to alcohol. I worry that after so many yrs of drinking it s to late for me & that the damage is irreversible (I know most liver tests come back normal when there is a problem & so feel must be something bad wrong if they are abnormal) which causes me to actually want to drink & just give up. Would an ultrasound be sufficient to tell me if I am past the pt of irreversible harm or is a biopsy necessary?