Super elevated liver enzymes

My AST (sgot) is 140. My ALT (sgpt) is 116. They jumped that high in 3 months. Dr told me to stop taking all nsaids and Tylenol. I am scheduled to see a gastroenterologist soon. Any ideas about how to deal with pain while waiting the 4 months for otezla to start working? I just started it yesterday and am doing two titration packs in order to introduce the med into my system more slowly.