Question 1

I have been noticing a strong smell in my urine, latrine, and certain foods, especially fish and chicken for the past 2 months. I do not think this is psychological. I also have chronic digestion issues. I had blood tests a few months ago and kidney function was normal, but SGOT and SGPT levels were elevated. My fasting blood sugar was around 102 mg/dL, and my cholesterol was high at 240 mg/dL. My weight is 63 kg, height 5 ft 7 in, and I am 24 years old.

Question 2

My husband has had diabetes for one year and was diagnosed with fatty liver 6 months back. Recently, he did HbA1c, which shows 5.5, but random sugar was 177. Lipid profile shows triglycerides 317 and HDL 26. LFT shows conjugated bilirubin 0.6. Vitamin B12 shows 1046. I am very worried about these reports. Please explain if it is okay to have such values or if any further tests are needed to identify the cause of these elevated values. If not, how can these values be lowered?

Question 3

Sir, my recent LFT reports show bilirubin at 1.86, SGPT at 42, and SGOT at 45. I have done LFT tests three times over different weeks. While SGPT and SGOT levels have decreased (SGPT: 65 to 42, SGOT: 55 to 45), my bilirubin has increased from 1.2 to 1.86. I have been taking Udiliv 300 and Tocofol as prescribed by a gastroenterologist. What should I do next?

Slightly elevated ALT (SGPT) could be due to fatty liver, alcohol, medications, or infections. If asymptomatic, focus on a liver friendly diet, avoid alcohol, and retest after a few weeks.

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