High liver enzymes. Appetite what to do?

Hello, I'm Dr. Nikhil Aggarwal. Based on the information you have provided, it seems that you are experiencing nausea and loss of appetite, and have also lost around 9 kgs. Additionally, ALT and AST levels are elevated, but you do not have fatty liver, and your hepatitis A, B, C, and E tests have come back negative. There are several potential causes for your symptoms, including viral infections, autoimmune disorders, and certain medications. However, given your elevated ALT and AST levels, it is important to rule out liver disease as a possible cause. I would recommend that you schedule an appointment with a gastroenterologist or hepatologist for further evaluation. They may recommend additional tests, such as a liver biopsy or imaging studies, to determine the underlying cause of your symptoms. In the meantime, it is important to maintain a healthy diet and stay hydrated. You may also want to consider taking over-the-counter medications to help alleviate your nausea and improve your appetite. However, it is important to consult with your doctor before taking any new medications. I hope this information helps, and please don't hesitate to reach out if you have any further questions or concerns.