question: Hi Dr. Rynne, In Sept. 2014 my two liver enzymes ALT and AST showed high and in two subsequent blood tests they came down but not near the normal level (normal being 24 and mine came down to 70). I have to do another blood test in Dec. 2014 and see the hepatologist in Jan 15. In the meanwhile I remember having a lot of itching on my jawline in December 2013 for which I went to a dermatologist. It subsided but has recurred now. I was researching on line and found a mention that elevated liver enzymes could cause severe itching which leaves dark marks (as is in my case). Could you throw some light on this. Also, how do I tell my PCP of my findings and ask her to look into this aspect of whatever it is that is causing elevated liver enzymes. I also have Type II diabetes.