Question 1

My blood report shows the following liver function values:
Total Bilirubin: 1.96 mg per dL
Direct Bilirubin: 0.19 mg per dL
Indirect Bilirubin: 1.8 mg per dL
SGPT (ALT): 28 U per L
SGOT (AST): 23 U per L
According to the report, my bilirubin levels are slightly elevated, while my liver enzymes are within normal range. My abdominal ultrasound shows Grade 1 fatty liver, and the rest of the findings are normal.

Question 2

Sir, today I did my LFT test. Please check my results:
Total bilirubin: 1.1
Direct bilirubin: 0.6
Indirect bilirubin: 0.5
SGOT: 45
SGPT: 46
Alkaline phosphatase: 299
According to my lab, the total alkaline phosphatase normal range is up to 308. Please confirm.

Currently, I am taking Ursocol 300 mg. Can I take Amlycure syrup along with this? Please suggest any safe medicines or methods to help reduce my SGPT and SGOT levels. I am attaching my LFT report for reference.

Thank you.

Question 3

I received my blood test report. My cholesterol was high at 211, LDL was 153, HDL was 36, vitamin D was less than 10.5 (normal 75 to 110), and B12 was 320. I was given 60k vitamin D capsules weekly. After the third week, I started experiencing dizziness and discomfort on the right side of my abdomen. My liver and kidney panel were normal, but ALT was 71 (normal 30 to 65). My bowel movements are fine, but I have bloating most of the time, and my abdomen feels tight like a tyre, which is very uncomfortable. I am worried, but my physician said my liver and kidneys are fine and it may be just gas. He asked me to continue the vitamin D tablets and take an antacid in the morning. What should I do? Can I take magnesium supplements too, as I read that vitamin D requires magnesium? My right knee hurts a lot while coming down the stairs, and I also have muscle cramps. My major issue is lower abdomen bloating and dull pain below the lower ribs on the right side.

I recently had my LFT done, and my test report shows higher than normal values for SGOT (AST) and SGPT (ALT). I would like to know the possible causes and how to bring these levels back to normal.

Raised LFT can be due to fatty liver, alcohol, or viral hepatitis. Please take an ultrasound abdomen and Hepatitis B and C panel. Take these to identify root cause.

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