Question: I'm a caucassian male, justed turned 31 years old and was diagnosed with Diverticulitus when I was 27. I was hospitalized with perferations but after a week of liquid diet and monitoring they decided surgical removal was not necessary and sent me on my way. I've struggled with my weight for a while. I'm 6'3" tall and weigh around 255-260 but I have a small frame. I graduated college the heaviest I had been in my life at just under 200 lbs and I feel like my normal weight would be in the 180 range. I recently got chills and sweats which at times caused nausia. I also had similar pain in my side that I experienced when having my diverticulitus attack so I rested, went on liquid diet, etc until I felt better. I decided to get a specialist closer to where I work now in case I needed to get in to them with a serious issue down the road. He looked at some old blood work and mentioned that my AST and ALT numbers were higher than he'd like. Since it was old blood work and I couldnt remember if I had been on medications at the time of it he asked that I get them redone. He also scheduled me for a colonoscopy so he could identify the seriousness of the diverticulitus. I just got my blood work back and the AST is 57 and ALT 88. All other functions, WBC, RBC Homoglobin, etc etc etc are in the normal range. My Lymphs (Absolute) is at the upper end of the interval but ok. I feel like I'm overweight and admittingly eat poorly. No breakfast, large lunch usually fast food at work, then some sort of dinner. Alcohol consumption is probably higher than most. I can't give a definative drink amount on a weekly basis but maybe 3-4 days a week during the week or Sunday I drink 0-3 drinks...Lately I'll have a day during the week where I have 5-6 drinks (rough day at work or doing some sort of house work) and if there is something going on like a wedding or party I'm the guy that can drink quite a bit maybe 12 or so that one night. I should also admit that when told to get blood work they did not go over any directions so I didnt realize i should fast. I went around 5pm to get blood drawn 4 hours after finishing up a good size lunch. The doctor has given me additional liver blood work as well as an ultrasound (i assume to check on size of the liver). I HATE tests, and the dr is being very vague. I've been tested for all STDs, Hep A,B,C, etc and all is clear except these AST/ALT levels. From the research I've done I'm leaning to fatty liver? If that's the case I wish they would ask me to go on a diet and cut back on alcohol and get bloodwork again in a month or so to see if levels reduce. Rather than going through all these additional tests. It freaks me out. Any advice is appreciated.

thank you for the response. Do you see any reason for the colonoscopy at this point or the additional bloodwork being done? You touched on agreeing that the ultrasound would be adviseable but not on the additional tests. Also, I understand the need for a change in diet and reducing of the alcohol intake but does alcohol intake need to be reduced to nothing? If drinks are ok in moderation is their a guideline i should follow? Lastly, with the leveles of AST 57 and ALT 88 and my dietary admissions would you believe there to be any explination other than Fatty Liver that I should be concerned with?