GPT and Hyperbilirubinemia: His labs were remarkable for mild leukocytosis (8.6 K/μL), abnormal liver enzymes in a mixed hepatocellular and cholestatic pattern (alanine transaminase (ALT) 1046 U/L, aspartate transaminase (AST) 570 U/L, alkaline phosphatase (ALP) 163 U/L), conjugated hyperbilirubinemia (total bilirubin 20.8 mg/dL, direct bilirubin 14.3 mg/dL), and elevated prothrombin time (16.3 seconds).