<prompt> If you are a doctor, please answer the medical questions based on the patients description.My husband is having this in his blood report and also detected as high pP255 and fasting189. Please tell is there any liver disease ALKALINE PHOSPHATASE PHOTOMETRY 162.3 Ul BILIRUBIN - TOTAL PHOTOMETRY 0.45 mgdl BILIRUBIN -DIRECT PHOTOMETRY 0.14 mgdl 0 - 0.3 BILIRUBIN INDIRECT CALCULATED 0.31 mgdl 0 - 0.9 GAMMA GLUTAMYL TRANSFERASE GGT PHOTOMETRY 211.5 Ul M: 0 to 50 - F :0 to 30 PROTEIN - TOTAL PHOTOMETRY 7.99 gmdl 6.0 - 8.3 ALBUMIN - SERUM PHOTOMETRY 4.39 gmdl 3.2 - 5.0 SERUM ALBUMINGLOBULIN RATIO CALCULATED 1.22 Ratio 0.9 - 2.0 ASPARTATE AMINOTRANSFERASE SGOT PHOTOMETRY 70.7 Ul M: 0 to 37 - F: 0 to 31 ALANINE TRANSAMINASE SGPT PHOTOMETRY 161.5 Ul M: 0 to 37 - F: 0 to 31  <response>: His blood tests show elevation of liver enzymes, which requires further evaluation if he has no know history of liver problems. He should get at least an abdominal ultrasound and a few more specialized blood tests to look for causes of abnormal liver enzymes. Alcohol is the number one cause of liver problems, but there are other problems that can be diagnosed by blood tests such as hepatitis b, hepatitis C, autoimmune liver disease, medications, etc.. He needs follow up with a liver specialist or gastroenterologist. 