Hi Tonya. Tamoxifen can have a deleterious effect on the liver making it fatty and less effiecient similar, as I understand it, to what happens when people drink too much alcohol or eat a very fatty diet.. Some people theorise that the fatty liver casused by tamoxifen could be the resason that many women gain weight when taking it. From what I've read you can counteract it to some extent by healthy eating and exercise. And it is yet another reason we should avoid alcohol. You probably know all this. I just thought I would mention it as a possible reason your liver enzymes are slightly abnormal. Good luck. I hope everything is okay.
PS Good luck Jenny . I hope everything goes smoothly for you too.