MRCP2-2122

MRCP2-2122

A 42-year-old accountant presents with abnormal liver function tests during a routine check-up. She reports feeling tired and occasionally experiencing dry eyes, which she attributes to her busy work schedule. She is currently taking birth control pills but no other medication and does not smoke or drink alcohol.
Physical examination is unremarkable.
The following investigations were conducted:
Bilirubin 10 µmol/l 2–17 µmol/l
Alanine aminotransferase (ALT) 20 IU/l 5–30 IU/l
Alkaline phosphatase (ALP) 250 IU/l 30–130 IU/l
AMA Negative
Anti-dsDNA Negative
High-density lipoprotein (HDL) cholesterol 3.5 mmol/l > 1.0 mmol/l
Liver–kidney microsomal antibody (anti-LKM) –
Low-density lipoprotein (LDL) cholesterol 3.0 mmol/l < 3.5 mmol/l
Prothrombin Test (PT) 11 s 10.6–14.9 s
Smooth muscle antibody (SMA) Negative

What treatment plan would you recommend for this patient?