I've been a bit worried since I recently had some blood work done. My total bilirubin was 1.77, so I took Livopill for 10 days, and my repeated test showed total bilirubin at 1.62, with DB at 0.63 and IDB at 0.99. The other results were total protein 7.6, serum albumin 4.9, globulin 2.7, AG ratio 1.8, SGOT 24, SGPT 25, alkaline phosphatase 92, GGTP 12, and my HBsAg was 0.24. Now, I've been told to take Ensules Plus for a month, but I feel this discomfort or pain just below my right rib. Should I be thinking about taking any other medication or is the pain something to worry about? Feeling a bit unsure about all this.

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Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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Your liver function tests show mild bilirubin elevation and normal liver enzymes, and the HbsAg result suggests you're not infected with hepatitis B; considering your symptoms and test results, consult your doctor about adding a liver protective supplement like silymarin or ursodeoxycholic acid to Ensules Plus, and for the rib pain, consider adding an antacid or acid reducer like omeprazole or ranitidine to alleviate discomfort, but only under medical guidance.

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Answered 04/07/2025

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