This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
Paxil and sulfasalazine can cause elevated liver enzymes.
So yes this can be medication related.
Blood tests should be repeated in 4 to 6 weeks to check for stability.
This can also be caused by the alcohol, or viral hepatitis, fatty liver.
Liver ultrasound and viral hepatitis panel should be ordered.
Please avoid alcohol.
The enzymes should normalize over time.
Please follow a high fiber diet and exercise regularly.
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