Question: Good Morning, I am hoping you can help with some crazy blood tests that I have been having for the last 2 years. I will give you a break out of abnormal results and if you can think of anything that can cause all of these please let me know. I am kind of an enigma now and no one can seem to figure it out. calcium - 10.3 but has been as a high as 10.8. it is never el evated on back to back tests and drops down to 9.7 which is normal. I was tested for a parathyroid tumor even had xrays of the lungs to. check for sarcoidosis. everything come a back normal. since my albumin is on the high end my doctor thinks my calcium will be high especially if I am dehydrated since the more albumin you have the higher the calcium concentration. CO2 Bicarbonate - Slightly elevated at 30. No one has a cause since all other electrolytes are normal. anion gap is also normal as well. doctor thinks thid is from dehydration and volume depletion as it corrects itself. Total Bilirubin - 2.3 but fluctuates from high normal to barely elevated. direct bili is .3 and the indirect is high. doctor said gilberts syndrome. Alt - elevated at 47. all other liver enzymes ast, alp are normal. liver function albumin is normal if not borderline high depending on lab. 2 liver ultrasounds normal. I do take humira for crohn's and I guess it could be from this medication but since it is has been relatively stable my doctor does not want to stop the medication as the benefits outweigh the risks. I have been on this medication for 8 years and the the elevated alt started 2 years ago. thank you for your help.