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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Values Of SGPT And SGOT?

hi.I am 32 years old male (weight -90 kg. , height - 5'10" ).with a history of consuming 3 strong beers and junk food since last 10 -12 years and I am also a smoker (10 ciggaretes daily).I also have sedentary lifestyle. Since last october(i.e 2010 ) i have been suffering with dull to moderate pain in liver area.I have got my ultrasound and ct scan done which showed fatty liver.MY LFT test showed raised i.d.bilirubin (0.6) , SGPT (83) and SGOT(42). My lipid profile test were also abnormal with Total Cholestrol 261, triglycerides-247, ldl - 168, vldl - 49.4 , hdl - 44 . i am a non-diabetic with hypertension. I have been taking Udiliv 300mg twice daily since last 5 months and ATORVASTATIN since last month with no improvement in my liver pain/ inflammation. My gastroenterologist diagoned it as NASH. Kindly advise what to do , what diet and medicine to take as the pain still persist.However , I have observed that when i take lemon water / liv.52 tablets i feel better for few hours or for the enitre day. Is my problem reversible, I have quitted drinking since last month and planned to quit smoking also. can i ever drink in my future in moderation ?
Fri, 24 Feb 2017
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Gastroenterologist,  's  Response
Hi.
Thanks for posting query at HCM.

Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal).

Value of AST or ALT greater than 85 or above maybe investigated further.
Alcohol ingestion and obesity are common causes of fatty liver disease.

advice :
- abstinence from "Alcohol"
- LOW fat diet should be followed, AVOID junk food and beverages
- decreased oil consumption (oily food)
- NO red meat
- green vegetables should be ingested daily
- use lemon juice (lemonade) once in a day
- reduce weight if overweight/obese
-"recheck liver enzymes after 8 to 12 weeks" and/or ultrasound.

any further questions are welcomed.

hope to answer your concern.

wish you good health.

regards,
Dr Tayyab Malik
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What Causes Elevated Values Of SGPT And SGOT?

Hi. Thanks for posting query at HCM. Usually ALT or AST values higher than two times the upper normal limit , is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. advice : - abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages - decreased oil consumption (oily food) - NO red meat - green vegetables should be ingested daily - use lemon juice (lemonade) once in a day - reduce weight if overweight/obese - recheck liver enzymes after 8 to 12 weeks and/or ultrasound. any further questions are welcomed. hope to answer your concern. wish you good health. regards, Dr Tayyab Malik