question: Hello doctor, I want to lose 50 pounds. I have RA and steroids have caused me to gain a lot in the last six to eight months. I started the keto diet two weeks ago but blood works is showing elevated liver enzymes which are causing issues with a medication I have to take for RA. What diet is best for people who have elevated liver enzymes due to Methotrexate? What can I do? I really need and want to lose excess weight. I am currently taking Levothyroxine, Methotrexate, Multivitamin and Hydroxychloroquine.