Hi Cindy358. Thanks for your reply. My raised liver enzymes were caught incidentally through bloodwork. My GP noticed the ALT/AST elevations and sent me to a liver clinic. The enzymes were monitored there for about 2 years, and they continued to be above normal, so in November they decided to do a biopsy as they weren't sure if this was NAFLD or something else. Based on the biopsy, they ruled out NAFLD and found advanced fibrosis (stage 3-4), and the pathologist report suspected autoimmune hepatitis based on the elevations of liver enzymes, GGT, IGG and presence of SMA. I was quite surprised because I am asymptomatic. I'm a 55 year old female who is extremely active and otherwise very healthy. On January 7, I do my bloodwork again in and hopes that the prednisone has stabilized my enzymes. I would have been on it for about three weeks at that point. I appreciate hearing about both you and your daughter and how you are being treated, and hope things stay well for you both. Mostly, steroids are not something I want to be on long term!