question: hi. i am a 21 year old male medical student... i had exertional rhabdomyolysis 2 weeks ago.. now i am completely back to normal regarding CK levels.. the problem is my ALT and AST didn t drop back to normal.. i had an abdominal ultrasound that revealed a mildly enlarged fatty liver (17 cm).. my alt level is in the 200 s and AST level is in the 60 s. i have a perfect body mass index but i have a lot of fat in my body especially in the abdominal region. the doctor prescribed silymarin with acetyle cyctein.. now where should i go from here?