<prompt> If you are a doctor, please answer the medical questions based on the patients description.my Gastroenterologist has just sent me a letter after examination. I have a sarcoid condition which she says has infected my liver. I am currently on 20mg of Prednisolone for the sarcoid. Blood tests results below: Alkaline Phosphatase 263 Alanine Aminotransferase 131 GAMMA GT 356 Was 500 An ultrasound shows a normal Doppler of the portal vein although slightly dampened Can you explain the above ?. Thank you  <response>: Hi Dear. I think its Hepatic involvement of acidosis. Although hepatic involvement is usually asymptomatic, however ones LFT could be deranged because of chronic homeostatic disease, increase in pressure inside vein that carries blood to liver and cirrhosis. Glucocorticoid treatment is first-line therapy for hepatic acidosis, thats is why your doctor has put you on prednisolone it will improve your general symptoms and abnormal laboratory values. Just keep your medications regular and visit your concerning Doctor regularly. 