Hi thank you for posting in HCM. I had gone through your question. I understand your concerns. SGPT and SGOT are liver enzymes , most sensitive indicators of liver cell injury and helps in recognising liver diseases like hepatitis, fatty liver, hepatocellular damage. If i were your treating doctor i would ask you to get the following tests done, serum bilirubin, alkaline phosphatase, prothrombin time, ultrasound abdomen, serum cholesterol, serum triglycerides. I would diagnose the possible diseases like fatty liver, hepatitis, cholestasis. The levels can be brought down by simple life style modifications and regular physical activity. Have a healthy and balanced diet that should include complex carbohydrates like oats, brown ricr, brown bread., high proteins like egg white, sprouts, soy beans, all kinds pulses, more vegetables, more fruits, low fatty foods. Pkenty of water minimum 3litres per day. Go for cardio exercises like brisk walking, running, swimming for 45min a day,6 times a week, add strength training to it 4 times a week. Keep blod sugar levels under control if you have diabetes. Avoid alcohol, smoking, junk foods, deep fried foods, white rice, white sugar. Wishing you good health.