Hello, bklauk, The important part of your history is the recent use of antibiotics and anti-inflammatory drugs. NSAIDs such as Ibuprofen, Naproxen, can cause temporary elevation of enzymes and rarely severe liver damage if taken in excess. Same thing is true for Tylenol (Acetaminophen) taken in overdose can injure the liver. Antibiotics belonging to the Tetracycline family can also affect the liver. Your lipd level being normal is good and probably rules out fatty liver. It is possible to have a very mild fatty liver even when you are ten pounds overweight, in your case unlikely. It is possible to have asymptomatic chronic hepatitis B or C from a prior infection. If you had a blood transfusion years ago when good screening tests was not available, people received contaminated blood. Needle prick, multiple sexual partners, drug abuse (Intravenous), sharing tooth brush, tattos from a dirty place (Needle) -all are risk factors for Hepatitis. You definitely need to get a screening blood tests for both Hepatitis B & C. They can be treated very effectively with newer drugs now. You are getting the sonogram of the liver and gallbladder which is good. You can rule out gallstones. If the level of enzymes are only minimally elevated , I would not worry about it, especially if related to medications. They will get back to normal on their own. Taking a good B-Complex vitamin once a day along with 1000mg. of Vit-C daily along with a good high protein, low fat diet is very good. I wish you well.