Hello ClareLynn, My AST and ALT are finally in range as of the last three months. The ALP did decrease but not within the normal range. It has not been as high as last year when I was hospitalized. The last set of liver enzymes taken did show low protein which is new. Bruising on the arms and legs increased in the past six months. My general practitioner, hematologist, gastrologist, and hepatologist have concluded it is the liver function. The next step is a liver biopsy which I will know more about on Monday. I will say I feel good and would never know anything was wrong without the bruising and the bloodwork. I did not have issues prior to the DS surgery and still don't know if it related to it. General Practioner believes the liver is not processing my protein properly. I looking forward to my appt on Monday with the hepatologist.