<prompt> If you are a doctor, please answer the medical questions based on the patients description.I recently had elevated liver results and so they tested for Hepitis and that was normal... EKG also adnormal and said something about doing a 24 hr holter monitor . This is the third time both test were abnormal and my regular doctor always stops after doing the same test. I m 32 5 3 215lbs. I have had normous health issues throughout life. I had Hasimotos and thyroid was removed but those test were normal. Just wondering what should I do to get past the routine of doing the same test and getting no answers.  <response>: Hello, First there are many causes of elevated liver enzymes. I suppose you were tested for one of the most common ones which are the viral hepatitis Hepatitis B and hepatitis C. The fact that you had Hashimoto thyroiditis, which is an autoimmune disease where your body attacks itself, is a risk factor for having concurrent Autoimmune Hepatitis. This can be tested by blood tests ANA, AMA, ASIA, etc., but may require a liver biopsy. Other causes considering: alcohol intake, iron overload, medication induced hepatitis, fatty liver common in diabetics, overweight people. If no answer is obtained with lab work and ultrasound of the liver then I would recommend you going for the liver biopsy. 