<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, i am a 19 year old male and i have had a little bit of pain in my upper right abdomen for a few days, and recently some muscle twiching their as well, i was told i have a slightly fatty liver and my ensimes were a tiny bit high last time i got it checked a year ago, since then i have given up fast food and most soda.. help me?  <response>: Hi. Thanks for posting query at Chat Doctor. Firstly, Liver enzymes values should have been posted. Usually ALT or AST values higher than two times the upper normal limit, is considered abnormal in some countries, ALT or AST values of more than 100 are considered abnormal. Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis HAD, HBV, HCV are common cause of elevated liver enzymes. These should be ruled out. Advice :- abstinence from Alcohol particularly if Liver function test reveal abnormal values - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption oily food- NO red meat-green vegetables should be ingested daily-use lemon juice lemonade once in a day-reduce weight if overweightobese any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. 