<s>[INST] 22 year old femaleworkout 3x/week125 lbs 5'5 1/2"rarely drink (4 drinks in 6months)Elevated AST of 93 (normal I was told from the doctor is 14-36)BP was 110/70 ..again lowI have been very tired lately and have had a migraine that is onset within the first hour of waking the past 4 days.I have GERD and take omeprazole once daily, however havent taken it 4 days prior to my appointment due to packing it away after graduation from college.Is this something to be worried about? [/INST] hi.and welcome to hCM.AST and/or ALT values higher than twice the upper limit of normal should be properly investigated.Esp test for HBV and HCV.secondly, obesity , alcohol may also lead to liver injury.hope to answer your concernregardsDr Tayyab Malik </s>