Elevated liver enzymes

History: - The patient first learned of their elevated liver enzymes during a routine screening conducted on March 15, 2023. There is no prior history of liver problems, but the patient's father had a history of liver cirrhosis. - Medications: The patient is currently taking Lisinopril and recently started on Tylenol for headaches about two months ago. - Alcohol History: The patient reports consuming approximately 2-3 glasses of wine per week, with no significant increase in consumption since the liver enzyme elevation was discovered. - Symptoms: The patient reports experiencing mild fatigue and occasional abdominal discomfort. Objective: - Blood test results from March 15, 2023, show elevated ALT and AST levels. Assessment: - The liver enzymes have been elevated for approximately one month. The patient is experiencing mild symptoms, including fatigue and abdominal discomfort. Plan: - Plan to repeat liver function tests in four weeks to monitor enzyme levels. - Recommend reducing Tylenol use and limiting alcohol consumption to one glass of wine per week. - Encourage a diet rich in fruits, vegetables, and lean proteins, and advise regular physical activity. - Schedule a follow-up appointment in six weeks to reassess symptoms and liver enzyme levels.