question: I am a 22 year old male and I work aboard cruise ships.  In order to be approved for work, I must undergo a full medical exam.  18-19 months ago when I took my exam, they came back with high levels of SGOT and SGPT and absolute monocytes.  After taking the test over again, all numbers where back to normal.  The doctor while unsure what caused it, suggested perhaps the intense work out I had done the night before the initial tests caused the numbers to go up. Two weeks ago I had to undergo the same full medical exam to go back to my new ship, and this time the SGOT and SGPT came back high again. SGOT at 191 and SGPT at 97.  I did have drinks the night before the tests but I still would like to know if I should be concerned.