<<Disclaimer: Verify this information before applying it to your situation.>> Thank you all who replied with you comments and thoughtfulness. Here are quotes from some of the responses regarding a high liver count: 1) unexplained high levels, no reason why 2) Don't assume it's Celiac related. Have them check for hepatitis. 3) Levels go up and down 4) The offending gliaden protein is seen by the autoimmune system as an allergen, which causes the liver to attempt to rid the body of the allergen. 5) Many meds that you could take could account for that high count and will lead to liver damage eventually. Meds such as anything with ibuprofen, any NSAID including aspirin, almost anything you would take for arthritis, and many more. You should make a list of any meds you take and let your doc see them, as well as checking the printed info the druggist can furnish you. 6) check out www.sensiblehealth.com and www.finerhealth.com 7) After two years GF - levels went down 8) Take digestive enzymes 9) Your liver count is typical of celiac disease. Although twice normal sounds high, 99 is actually a very slight elevation for this test. Many doctors would just shrug their shoulders and not be terribly concerned. With hepatitis the level is in the thousands, with liver damage from Tylenol poisoning it is in the tens of thousands. A minimal elevation, like yours, is typical of celiac disease, which can cause fatty liver. The cholesterol level can also be affected for the same reason. The LDL (bad cholesterol) may be low or "too good", while the HDL (good cholesterol) is also low. See table 3 of "Detecting Celiac Disease in Your Patients" by Harold T. Pruessner, MD in American Family Physician March 1, 1998 - entire article on internet at www.aafp.org/afp/980301ap/pruessn.html Thank you again, Michelle in MD