What does it mean if your liver enzymes are slightly raised?

Mildly raised ALT or AST is a common incidental finding and most often reflects fatty liver in the Indian context. Other causes worth considering: alcohol, medications including some over-the-counter painkillers and supplements, viral hepatitis, thyroid dysfunction, and muscle injury which raises AST specifically after heavy exercise. The usual approach is to repeat the test after a few weeks, review alcohol, medicines and supplements, and check for hepatitis B and C plus an ultrasound. Persistently raised enzymes need proper evaluation rather than repeat monitoring indefinitely, since the aim is to identify fibrosis before it progresses.