 [ Symptoms ] i have multiple diseases like type 2 diabetes high blood pressure high cholesterol arthritis fybromyalgia [ Disease ] i am not a doctor but will give you my opinions based upon the information provided with your question sometimes fatty liver disease may cause hypertension is your son overweight fatty liver disease is often seen in overweight individuals and raises liver enzymes such as sgot another liver enzyme ggt when found in high levels has been associated with hypertension i suspect that the pediatric endocrinologist determined a high liver enzyme level during your son is latest testing of his blood serum i feel that the endocrinologist is making an appropriate referral in order to rule out liver disease for your son