Hi, Thanks for posting in HCM. I understand your concern. What your son is suffering is from adolescent obesity as you are suggesting that he is 20 pounds overweight, which is not a good sign at all. That is the reason why his lipid levels are altered with increase in blood pressure as well. His readings of blood pressure is definitely a matter of concern. His ALT levels of 57 U/L suggests that there is some amount of liver dysfunction as well, probably due to altered lipid profile. However, his creatinine level of 0.97mg/dl is normal and tells his kidneys are alright. Although you say he is very active, you need to take appropriate measures to evaluate endocrine cause for his obesity and strictly control through diet and exercise so that his physiology comes back to normal. Hope the information provided would be helpful. All the best.