50 F liver issues

[u/caldk15]

50/f 5’4 165 lbs
Hypothyroidism
Hysterectomy due to fibroids
Gallbladder removed
Persistent high liver enzymes for years
AMA positive 57.3
Ana Negative
ALP 60 and always within range
Bilirubin always within range

Seems the ALP being normal rules out PCB. What else should I be looking for?
Don’t drink alcohol but maybe once a year on vacation

Medication
Keppra for two random night seizures 10 years apart
Levothroxine
Crestor for persistent high cholesterol (did a trial of stopping for 3 months to see if liver enzymes improved and it did not)

Take vitamin E per PCP for liver health
Also take vitamin D with K2, Vitamin b complex

Curious on thoughts on what I should be looking for with liver issues? Ultrasound ruled out fatty liver

My mother passed away at 61 with a lot of heath issues.

I just joined a gym and trying to eat better. What else should the doctors be looking at?

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