Good morning Sorry to hear about the illhealth of your dear husband First of all I would like to strongly advise you to stop ayurvedic medicines. He is suffering from hepatitis and i believe it could be due to viral illness. He needs to be investigated for the same The downward trend of his SGOT and SGPT were encouraging The bilirubin level has increased, with a change in the fraction of predominant direct bilirubin fraction (initially) to indirect bilirubin fraction (later). It may indicate that his red blood cells must be getting destroyed early which could be secondary to ayurvedic medicines or viral illness itself. I would like you to please recheck the repeat bilirubin (including direct and indirect fractions) along with complete blood counts, reticulocyte counts, prothrombin time. I would also like to advise you to get serum ceruloplasmin to diagnose copper related storage diseases which can cause this combination of symptoms and lab reports. Hope I had answered your question I would be happy to answer any further queries Wish him a speedy recovery