<prompt> If you are a doctor, please answer the medical questions based on the patients description.I recently had a liver resection for a giant hemangioma. I also have a history long ago of thyroid cancer with a thyroidectomy and resultant hypoparathyroidismhypocalcemia. I am 4 wks out from my liver resection my AST ALT are both greater than 4 times the upper limits of normal. I m wondering if there could be a connection between the thyroidparathyroid issue the elevated LFTs?  <response>: Hello, I read your question carefully and I can understand your concern very well. I would like to tell you that because you had thyroidectomy years ago and now suffering from hyperparathyroidism, which is a common complication after thyroid removal, in my opinion these two thyroidparathyroid and elevated Lots are not related with each other. You had elevated Lots may be due to recent liver resection and so remaining liver tissue is responding to work efficiently and that can increase Lots for initially few months. You can go for ultrasound of abdomen and discuss with your surgeon to rule out any complication of your liver surgery. If nothing is significant, then mostly your Lots will be normal within a month or so. Otherwise, connection between thyroidparathyroid and 4 times higher Lots are unlikely. Hope this answers your question and let me know if you have any further relevant queries. 