Hello; I Am Currently Being Investigated By My Physician For

Hello;

I am currently being investigated by my physician for potential liver problems. I was hoping some further information could be provided.

Less than 1 alcoholic drink/month.
Low risk index for HEP B/C. Sex with protection, one partner, HEP B vaccinated. No recreational drug use.

M38, no routine medications. Only condition currently is Gilbert Syndrome. Muscular built, 6’11’’ and approx 195ibs.

I current don’t have physical symptoms, all the following was diagnosed through routine physical. Only exception is mild fatigue which is subjective. Normal colour bowl movements and urine.

Last October, routine blood work and physical. Bilibrubin was at 48 (reference <20). Also ferritin was 360 (reference <220). MD was not concerned but I was referred for an ultrasound which should no major anatomical changes. Small amount of fat on the liver but no other anatomical changes. All liver enzymes ALT, AST normal limits. Diagnosed with Gilbert’s Due to hyperbilirubin.

During routine doctors visit ask for a follow up test for ferritin. Ferritin is now 470, and ALT is 246 (<53 reference). Bilirubin down at 34 (<20) Again no external symptoms. Normal lipid profile as of October.
Considered for HEmochomosis (HH) but other iron values are normal including saturation <45 (currently at 35). MD ordered another ultrasound. She does not seem too concerned. The ALT at almost 5x reference has me very concerned; as does the ferritin value. All other liver enzymes normal (INR, Albumin, etc)

What can explain the high ALT, ferritin?
(Obviously I’m very concerned)

Thank you.
Dave