My ALT has been mildly elevated, off and on, for the last year. Now the level is at 112, which is the highest that it has been. I have a history of MS and I am on Avonex, however my neurologist does not think it is related because the last two values were high normal. She states that it would be consistent if it was related to the Avonex. My primary physician says she doesn t think it s a problem. I have a very occasional wine when out, maybe one a month.? I could probably count the number of times I have had beer in my life on one hand. It has all been within the last year, brews are better than they were back in HS and college. BTW, I am a 63 year old female. I walk but not consistently. My diet is so-so. What do you recommend? How shall I follow up? Thanks for your answer.