What if there is some sort of viral or bacterial infiltration of the liver that creates some soft of MS like syndrome?
What really strikes me is the fact that I have had elevated liver enzymes for a while, before I ever took Ifn-b. It came up in a blood test a long time ago when I had severe abdominal pain. They thought I might have hepatitis, but it turned out that I didn't. I remember the ultrasound of my liver then and it was nice and smooth.
Then, when I was in the hospital with my first real relapse, they mixed up some paper work and had another ultrasound of my liver done. I thought that was strange. But, it turned out that now I have a fatty liver. I saw it in that image then as well and it was rough looking and pitted, it didn't look smooth like it did before.
After that while i was still in the hostpital, they checked my hepatic levels again and all was fine. A year after that, they checked again and enzymes were once again elevated.
Anyway, just thinking out loud.