I have had elevated liver enzymes since 1999. My only symptom was fatigue. I attribute my problem to taking Naprosyn for back pain, at least that's when this manifested. When they took a liver biopsy I was told that I had auto-immune hepatitis, basically my own body attacking my liver. I also have to be very careful not to even take aspirin because that overwhelms my liver. I have to have the blood tests every 6 months. I was once put on prednisone and my enzymes came down to normal. Because of the side effects of prolonged prednisone and my family history of heart problems, I was taken off and now am just being monitored. The biggest drawback for me is that I dont have the energy my contemporaries do; I tire easily. There is hope for us and we can support each other in doing the things we know are good for us and our livers. Please PM me if you want to talk more about this.