<s>[INST] my son is 34 yrs old and obese(about 300lbs) and now his blood work shows elevated liver enzymes as well as a gallbladdder number that is not normal. his tryc.,his sugar,his colesterol are all high. what can he do quickly to get on the right track. the dr is doing a 2nd blood test to make sure the first one was correct.he is already on blood pressure pills,including fluid pills. I am so worried about him and knew his over weight problem was going to turn into something much worse. he is a very stubborn guy but he is scared now,really scared. He might see that a Mom does know best and he should have listened to me.help! [/INST] HelloElevated liver enzymes may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes,obesity etc.High liver enzymes may be due to altered lipid profile in your son's case.Findings also suggests altered lipid profile.He may need few investigations like routine hemogram,viral markers,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner.It will control increased lipid level.He also need diet and life style modification.He should avoid saturated aft and go for brisk walk regularly.He also need medicines for diabetes mellitus.Get well soon.Take CareDr.Indu Bhushan </s>