65 y/o male presented with sudden weight loss (165 a year ago, 145 one week ago, 137 current) Abdominal pain in upper abdomen both left and right side. Latest blood work indicates significant change from 6 months ago. Specifically current troubling values:A1C=11.2, AST=8, glucose 411, Alk Phos=153, ALT=79. Previously, all within normal limits.