FATTY LIVER
It's because your liver enzymes are high. During the fast weight loss period it's pretty common to have these. Are you still losing? At 4 years post, you should be back to normal or close to it. And btw you can have high enzymes and NOT have a fatty liver.
You wouldn't be the first, second, or third DSer to be improperly diagnosed because their doc didn't know squat about the DS. One woman was even put on a transplant list! An ultrasound is not invasive and can't hurt you but before I was willing to take a bunch of drugs or have anything invasive done, I would get a second opinion from a doc *****ALLY knows and understands the DS. Maybe you can email your test results to Dr. Smith and see if he is concerned.
I am going to call Dr Smith with the lab results. My primary care Dr took blood work twice and now wants to do a ultrasound simply because that is just the sequence in which they do things. I am sure its just a fatty liver because Dr. Smith did tell me that my levels will always show high. I am just trying to reach out and see if anyone else has had this because I have a really hard pain high up under breast every now and then like maybe 6 times this has happened in the past year and its a pain that feels like its stabbing from my back and into my area under my breast and it tightens up really hard then it releases in just a few minutes and is gone. I have researched fatty liver and this could be the reason for the pain. I have had zero problems since my surgery 4 yrs ago so I am just a little concerned now. Thanks for your help!