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High liver enzymes need help

AST 129 U/L 10 - 40 U/L
ALT 224 U/L 10 - 44 U/L
Alkaline Phosphatase 151 U/L 55 - 135 U/L
Component Your Value Standard Range
Ferritin 516 ng/mL 20.0 - 300.0 ng/mL

Impression
Unremarkable post cholecystectomy liver ultrasound
Findings: The gallbladder is surgically absent. The common bile duct measures 6 mm. No focal liver mass. No ascites. The portal vein is patent with a velocity of 29 cm/s. Visualized hepatic veins are also patent. The pancreas was obscured.

Component Your Value         Standard Range
Smooth Muscle Ab Positive 1:40   Negative

Hepatitis B Surface Ag Negative  
Hep B C IgM Negative  
Hep A IgM Negative  
Hepatitis C Ab Negative  

Had a biopsy the only thing they found was stage one iron overload. I don’t understand why I am still have high liver enzymes and a positive smooth muscles Ab.  Please help.  Thank you










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