Jan, good to hear of your success with Milk thistle, here is a little info for
those interested -


A laboratory report of elevated liver enzymes is common and doesn't indicate
a specific disease. However, elevated liver enzymes may be due to liver
disease even if you have no symptoms. To determine the underlying cause of
elevated liver enzymes, your doctor may recommend further testing.

Common causes of elevated liver enzymes include:
-Side effect of medication, such as certain nonsteroidal anti-inflammatory
drugs (NSAIDs), cholesterol medications, antibiotics or anti-seizure
medications
-Drinking alcohol
-Obesity
-Diabetes
-Elevated triglycerides
-Infection, such as viral hepatitis and mononucleosis
-Autoimmune disorders of the liver and bile ducts, such as autoimmune
hepatitis, primary sclerosing cholangitis or primary biliary cirrhosis
-Metabolic liver disease, such as hemochromatosis or Wilson's disease
-Excessive use of certain herbal supplements, such as kava, comfrey,
pennyroyal or skullcap
-Gallstones
-Tumors of the liver, pancreas or bile ducts
-Treatment of elevated liver enzymes depends on its cause. It is important
to tell your doctor about any nutritional or herbal supplements you're
taking.
http://www.mayoclinic.com/health/elevated-liver-enzymes/HQ01011

Nonalcoholic fatty liver disease (NAFLD) describes a range of conditions
involving the liver that affect people who drink little or no alcohol.
The mildest type is simple fatty liver (steatosis), an accumulation of fat
within your liver that usually causes no liver damage. A potentially more
serious type, nonalcoholic steatohepatitis (NASH), is associated with
liver-damaging inflammation and, sometimes, the formation of fibrous tissue.
Nonalcoholic fatty liver disease affects all age groups, including children.
Most often, it's diagnosed in middle-aged people who are overweight or
obese, and who may also have diabetes and elevated cholesterol and
triglyceride levels.
http://health.yahoo.com/digestive-overview/nonalcoholic-fatty-liver-disease/mayo\
clinic--8903EB68-8F95-4135-87D24C6EFF964A6E.html

What do elevated AST and ALT mean?
AST (SGOT) and ALT (SGPT) are sensitive indicators of liver damage from
different types of disease. But it must be emphasized that
higher-than-normal levels of these liver enzymes should not be automatically
equated with liver disease. They may mean liver problems or they may not.
The interpretation of elevated AST and ALT levels depends upon the whole
clinical picture and so it is best done by doctors experienced in evaluating
liver disease.
http://www.medicinenet.com/liver_blood_tests/page2.htm

A host of medications can cause abnormal liver enzymes levels. Examples
include:
-Pain relief medications such as aspirin, acetaminophen (Tylenol), ibuprofen
(Advil, Motrin), neproxen (Narosyn), diclofenac (Voltaren), and
phenybutazone (Butazolidine)
-Anti-seizure medications such as phenytoin (Dilantin), valproic acid,
carbamazepine (Tegretol), and phenobarbital
-Antibiotics such as the tetracyclines, sulfonamides, isoniazid (INH),
sulfamethoxazole, trimethoprim, nitrofurantoin, etc.
-Cholesterol lowering drugs such as the "statins" (Mevacor, Pravachol,
Lipitor, etc.) and niacin
-Cardiovascular drugs such as amiodarone (Cordarone), hydralazine,
quinidine, etc.
-Anti-depressant drugs of the tricyclic type
http://www.medicinenet.com/liver_blood_tests/page3.htm#6whatmedications

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