In the US you are going to need to see your primary care doctor.
You generally can not have your insurance pay without a referal to a GI doctor.
Your AST is normal range. Your alt is slightly high.
To interpret the bilirubin, which is also not so high, a direct bilirubin would be good to know. If this is high, this is likely to be gallstones or gallbladder disease.
If not, it is something else.
The liver work up includes
All hepatitis screens.
Iron and ferritin to rule out hemachromatosis.
I am a double board certified US doctor.
Find me by request anytime.
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