Recently I was diagnosed with Type 2 diabetes, high blood pressure, and a thyroid problem. I have sufferred from bulimia and binge eating for the past 11 years. My blood test not only showed a high blood sugar level but also high liver enzymes. My ALT is 545 and my AST is 307. I found out both shouldn't be over 40. So now I am extremely nervous and scared about what could be wrong with my liver. The doctor knows my history with bulimia/binge eating and still doesn't think that that could have made my liver enzymes as high as they are now. She suspects it could be hepatitis or a fatty liver but I don't know what to think. I blame myself because of my bad eating habits and abuse of my body. I have had some discomfort on my right upper side of my abdominal (right by my rib area). I've had that pain for awhile now but I thought it was because of all the weight I have on my upper body. I carry most of my weight on top and hardly any at the bottom. I figured the weight was putting more pressure on my ribs and that's why I was in pain. Stupid now that I think of it but I never even thought it could be my liver. I go for an ultrasound tomorrow but I'm really scared. I don't want to be told that I'm dying. I don't feel like I am but I've been extremely tired lately and can't help but think the worst. Has anyone ever experienced elevated liver enzymes or have any advise for me?