Hi,
Both been independent parameters...
Did she had any history fever , cold - kind of viral illness can rise
liver enzymes acutely... i
f since Long time the enzymes been raised, means need to rule out chronic viral hepatitis, NASH... kind of disease
Need more history .. kindly visit Gastroenterologist
And for
vitamin D deficiency - need vitamin d replacement like vitamin D 60,000 IU orally... weekly... consult for prescription
Daily go out to the Sun around mid morning for 10 to 15 minutes daily for vitamin d source
Next Steps
consult