Hi Thanks for posting on HCM There many medical conditions that may cause elevated liver enzymes.Some possible causes may include. -Certain prescription medications, including statin drugs used to control cholesterol -Drinking alcohol -Heart failure -Viral hepatitis -Nonalcoholic fatty liver disease -Obesity -liver inflammation caused by an autoimmune disorder -Celiac disease -Pancreatitis -And so may others Only a keen examination by the Doctor with some tests may help identify the cause.Just see your Doctor for evaluation. In the meantime, the following may help reduce the level of AST in body *Making Diet Modifications like Get more vitamin D, Eat a nutrient-rich plant-based diet, Avoid foods high in fat, Avoid foods high in salt or sodium *Making Lifestyle Modifications like Stop drinking alcoholic beverages, Get daily exercise, Avoiding smoking, Prevent exposure to other harmful chemicals. *Getting Medical Treatment like Get a blood sample taken for testing, Stop taking over-the-counter drugs, your Doctor may Consider prescribing corticosteroids and other drugs if need be, taking herbal supplements. If any cause identify from tests, your Doctor may prescribe drugs to take care of the situation. Hope this will help Wish you good health