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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The High Levels Of SGOT And Triglycerides Damage The Liver?

Hi I just got some blood tests back which were done as part my routene check up My SGPT is 160 and SGOT is 280al so my tryglycirides at 450. My cholestrol,sugar and blood pressure is normal. Can you tell me what should I do to get these numbers back in order ? Do I need urgent medical attention ? Is my liver damaged ?
Thu, 28 May 2015
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General & Family Physician 's  Response
Hello,
I had gone through your reports carefully and can understand your concern very well.

SGPT and SGOT are liver enzymes which levels are increased during any kind of liver injury like hepatitis, fatty liver, cirrhosis, carcinoma, etc.

I hope you have done your lipid profile with fasting blood, because if its random, then chances of triglycerides of getting high are more. So if not in fasting mode, then i would advise you to repeat the lipid profile after 12 hours of fasting. Also check your HDL and LDL cholesterol levels. Also want to know your age and weight, taking any medications for long term illenss, drinking alcohol or not. You can get back to me anytime after all these information.

Because your SGPT and SGOT are very high (normal is less than 45), some kind of liver involvement is already there for sure. So i would recommend you to go for ultrasound of abdomen to find out the liver injury.

Triglycerides are very very high and it definitely damage your liver in long run. As per my opinion, you might be having fatty liver due to high TGs. If i were your treating doctor, then i would recommend you few life style modifications like......
1. Take high fiber diet like green leafy vegetables, fresh fruits, etc.
2. Avoid oily and junk food.
3. Do regular brisk walking for at least 40 minutes a day
4. Stay away from alcohol or smoking
5. Do regular meditations to lessen your stress

Follow these for 3 months and repeat your liver and lipid profile. If triglycerides remains high, then you need to take statin group of drug. Because this is a prescription drug, you need to consult your local doctor and discuss about the diagnosis and further line of management.

Hope this answers your question and let me know directly if you have any further follow up queries.
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Could The High Levels Of SGOT And Triglycerides Damage The Liver?

Hello, I had gone through your reports carefully and can understand your concern very well. SGPT and SGOT are liver enzymes which levels are increased during any kind of liver injury like hepatitis, fatty liver, cirrhosis, carcinoma, etc. I hope you have done your lipid profile with fasting blood, because if its random, then chances of triglycerides of getting high are more. So if not in fasting mode, then i would advise you to repeat the lipid profile after 12 hours of fasting. Also check your HDL and LDL cholesterol levels. Also want to know your age and weight, taking any medications for long term illenss, drinking alcohol or not. You can get back to me anytime after all these information. Because your SGPT and SGOT are very high (normal is less than 45), some kind of liver involvement is already there for sure. So i would recommend you to go for ultrasound of abdomen to find out the liver injury. Triglycerides are very very high and it definitely damage your liver in long run. As per my opinion, you might be having fatty liver due to high TGs. If i were your treating doctor, then i would recommend you few life style modifications like...... 1. Take high fiber diet like green leafy vegetables, fresh fruits, etc. 2. Avoid oily and junk food. 3. Do regular brisk walking for at least 40 minutes a day 4. Stay away from alcohol or smoking 5. Do regular meditations to lessen your stress Follow these for 3 months and repeat your liver and lipid profile. If triglycerides remains high, then you need to take statin group of drug. Because this is a prescription drug, you need to consult your local doctor and discuss about the diagnosis and further line of management. Hope this answers your question and let me know directly if you have any further follow up queries.