question: Hi, I got a blood test back with elevated ALT at 80 - all other tests normal, except I have Vitamin D deficiency as well. I'm overweight at 190 and 5'4", 44 yo female, but blood sugar was normal and no pre-diabetes indicated. I've lost 25 pounds over the past two years, so on the right trend with that. I have to go back for a liver panel, but in the meantime, I'm wondering if it could have been caused by any of the following: 1. gargling with Listerine; 2. eating too many nuts; 3. taking Melatonin for sleep; 4. taking one advil per day for pain of trigger thumb; 5. stress- a couple of all-nighters within the two weeks prior to test, and a lot of day-to-day stress between job and caregiving responsibilities. I'm trying not to freak out over this test result until after I have the liver panel. If I have fatty liver, I'll make further diet changes I should be/am making anyway. Just wondering about factors that could have made the test a fluke...