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Your reports suggest a metabolic–inflammatory cluster, not just isolated problems. • Markedly elevated ALT (263), AST (110), and GGT (142) strongly point toward fatty liver disease (likely MAFLD / NAFLD) or toxic/inflammatory liver stress. At your age, alcohol is ruled out, so causes include: • Insulin resistance (even without diabetes yet) • Rapid weight gain • Metabolic syndrome • Possible environmental triggers (pollution/smoke exposure → oxidative stress) • High uric acid (8.5 mg/dL) + knee pain suggests early gout / hyperuricemia, often linked to fatty liver and insulin resistance. • Severe vitamin D deficiency (4.4 ng/mL) can explain: • Weight gain • Fatigue • Muscle/joint pain • Worsening inflammation • Low-normal B12 (240) can still cause symptoms like low energy and brain fog. • Elevated lipids + hs-CRP confirm systemic inflammation, not just liver-specific disease. • Cough on smoky days suggests airway hyper-reactivity, often worsened by systemic inflammation and vitamin D deficiency. ⚠️ Important: These enzyme levels are not mild and should not be ignored, but they are potentially reversible if addressed early.

Your report showing elevated liver enzymes alt,alp,ggt and also having hyperuricemia 8.5 mg / dl with low  vit d levels .ur are suffering from non alcoholic fatty liver disease ( mafld).

There are medicines to help you . Consult online.

Based on the provided History u r suffering with the Non Alcoholic Fatty Liver Disease , it is due to physical inactivity...kindly consult if u need more

You should not take your reports lightly consult with any physician give them detail history and take proper treatment... For now what you can do is that go for 1.USG abdomen 2.CBC,HBsAg and HCV

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Consult online Start some detox drink every day morning empty stomach Get USG abdomen Take himalaya liv 52

Please share details of your current symptoms any past history,  then I can help you further. It is the disease which is treated, not results.

Some more details and examination

Febustat 40 once a day after dinner x 4 weeks for high uric acid. Alt and ast along with ggt are increases due to various factors. As you mentioned you are non alcoholic, then it is non alcoholic fatty liver or might be due to various medications taken in the past.

You need proper examination by a physician and may require additional investigations. Consult a physician in-person

Alcohol is not only the reason behind Elevated liver enzymes , you are non alcoholic, but there is fatty liver problem due to other reasons also like carbohydrates rich diet,less excercise or sedentary lifestyles. D3 deficiency also, so you need to evaluate first and then start proper treatment, please consult for further management and evaluation.

Need few more questions for proper understanding of u r problem . You can consult me online

Do the following, 1. Blood pressure check 2. At least 75minutes of brisk walking or jogging a week 3. Blood tests : HbA1C, TSH, Hepatitis B, Hepatitis C,Ferritin, Ceruloplasmin, INR, CBP 4. Ultrasound abdomen and Fibroscan of Liver 5. Have daily Protein at least 1gm per kg body weight and avoid painkillers like Ibuprofen etc 6. Medications i) Allopurinol 100mg once a day for Gout ii) Rosuvastatin 10mg once a day for high lipids iii) Cholecalciferol 60k once a week for 8 weeks and then once a month for a year Medications will need to be taken regularly and based on follow up blood tests need dose adjusting. 7. See a Dietitian All the best. J G S R clinic

Thyroid profile test Usg abdomen specially liver n appendage. CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST. FEUXTATE40 ONE AT NIGHT AFTER DINNER FOR 4 WEEKS. (URIC ACID ) VIT D3  TOO LOW ORAL UPRISE D60K ONCE A WEEK FOR EIGHT WEEKS FOLLOWED BY ONE PER MONTH FOR SIX MONTHS A COMPLETE THERAPY BY WHO  INJECTION INJ UPRISE D60K ONCE A.MONTEK  INTRAMUSCULAR IN GLUTEAL REASON  FOR TWO INJ. NEUROKIND OD ONE AFTER DINNER FOR 2 MONTHS. LIVER UDILIV 300 TWO TIMES AFTER FOOD FOR 2 MONTHS. LIV 52 ONE AT NIGHT FOR LONG TERM.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Consult gastroenterologist for physical examination

Non alcoholic fatty liver

Consult to physician only LFT is not the parameter to reach to diagnosis

Kindly consult to physician in person for detailed history and examination

Need a few more details please consult for further evaluation and treatment

Reports mein ALT/AST/GGT ka level kaafi elevated hai jo most commonly fatty liver (NAFLD) + metabolic inflammation se related hota hai, especially rapid weight gain aur high lipids/uric acid ke saath. Ye alcohol se nahi bhi hota — diet pattern aur insulin resistance se bhi hota hai. Filhal liver ko rest dena important hai: avoid sugary drinks, fructose, packaged snacks, red meat excess aur late night meals. Daily 30–40 min brisk walk aur 7–8% weight reduction se enzymes significantly improve hote hain. High uric acid gout symptoms de raha hai — hydration >3L/day rakhein aur high-purine foods (beer, organ meat, excessive dal supplements) kam karein. Medicine decision symptoms frequency dekhkar liya jata hai, har report pe immediately start nahi karte. Severe vitamin D deficiency treatment required hai (weekly supplementation) aur B12 borderline hai. Important tests: USG abdomen, HBsAg, Anti-HCV, HbA1c, TSH Agar jaundice, persistent vomiting, severe weakness ya ankle swelling aaye to urgent review karein. Aap chahein to detailed plan ke liye consult kar sakte hain

Need some more details kindly consult