Case study: 57-year-old women, started noticing weight gain and decided to try keto, after 3 months she did…

Case study
57-year-old women, started noticing weight gain and decided to try keto, after 3 months she did some bloodwork, discovered her liver enzymes where way above range, AST= 67 U/L and ALT= 119 U/L.
This indicates overactivity of gluconeogenesis, which usually rises on a keto diet as the body breaks down muscle and organs to supply glucose.
Abdominal ultrasound showed:
"These findings are highly suggestive of hepatic steatosis, or fatty liver disease."

She agreed to discontinue the ketogenic diet,
"Repeat laboratory testing 10 days after visit to the
primary physician revealed improved liver enzymes
(AST = 55 U/L, ALT = 80 U/L)"

The liver enzymes AST and ALT as part of the gluconeogensis process are known to be elevated in cancer,diabetes,NAFLD, and keto diets, they rise when glucose is not supplied so the body breaks down muscle and organ tissue, and the liver makes glucose from them, I go into details in the article below.