Brief Answer:
Please consider these guidelines.

Detailed Answer:
Hello
I had gone through your question very diligently and I really appreciate your concern.
Elevated in liver enzymes like SGPT and GGT might be related to side effects of mirtaz or alcohol consumption.

High cholesterol and triglycerides can be a managed with dietary restrictions and regular physical exercise for initial 2 to 3 months which can be supplemented with drugs later on.
Since you have already taken rosuvas or simvas so I would advise you to follow certain life style modifications before starting it again.

Here I would like further information for better assessment like
Your weight and height
Since how long you have been drinking and how much in a week

Meanwhile please follow these guidelines
you should ask your doctor to either stop or reduce the dosage of mirtaz to lower the elevated liver enzymes.
Complete abstinence of alcohol and smoking
You should take low or no fat diet, avoid fried and junk food
Have lots of fresh fruits and steamed vegetables and dietary fiber supplements
Reduce your weight if you are overweight or obese.
You should exercise regularly as much you can comfortably do

I hope you will find my response informative and helpful ,
Please feel free to ask for follow up, I will gladly answer you
Best wishes

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Brief Answer:
Please consider these guidelines

Detailed Answer:
Hello
welcome again
Atorvastatin in low doses is well tolerable statin, you can ask your doctor for Atorvastatin and fenofibrate combination drug to reduce cholesterol level.

In my opinion if you follow the life style modifications I have advised you in my previous reply, you will definitely succeed in controlling your cholesterol level.

Hope this answers your question
Best wishes

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Brief Answer:
Pravastatin is better drug

Detailed Answer:
Hello
Welcome again
Pravastatin is comparatively better tolerated drug
it has less side effects.
Hope this answers your question
wishing you good health.
Regards

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