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Liver elevated enzymes.
I got checked randomly and found out my
liver bio markers are not good.
Total bil = 1.7
Sgot= 45
Sgpt= 74
I had an instinct that it is due to ashwagandha I took caused it.
I thought of using SWISSE milk thistle and liv 52.
Which is good?
Answers (36)
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This is a very mild change to be alarmed of.
It could possibly even turn normal on a repeat test.
Avoid alcohol.
Take balanced diet.
Avoid fried/oily foods.
Next Steps
No need of liver protective supplements ryt now. Dont be alarmed.
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Can help but
Need more history
Kindly consult on 9three28010077 for appointment
Text/audio/ video consultation available
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Good day to you sir
I understand your concern and it's good to know that you are vigilant and give utmost importance to your health.I am sure this must be distressing causing a hindrance in your day to day activities. I shall try to the best of my abilities to consult you
Acute liver injury seems to be the reason for your elevated liver markers
It has many causes such as alcohol consumption, toxic exposure, hepatitis B,C, Trauma, etc.
As it is beyond the scope of this Q/A forum to evaluate all the causes and then formulate a treatment plan.
Next Steps
I urge you to book a one to one consultation with your family physician or any physician you are comfortable with so that workup (history, investigations) can be done.
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Hope this advice provides you the much needed insight
Wishing you a speedy recovery
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1. Stop all supplements immediately – especially Ashwagandha, gym supplements, herbal powders.
2. Avoid alcohol, smoking, heavy gym workout for 2–3 weeks.
3. Start Liver supportive medicines:
Tab Liv 52 DS – 1 tab twice daily
Next Steps
Repeat LFT after 1month
Health Tips
hydration 4-5 Litre pr day
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Kindly consult directly on Practo as I need more detail details regarding the same.
Whatsapp seven seven 36 two seven 6462
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Your report is near normal..take lots of fluids.. healthy diet.. stop taking all type of supplements like ashwagandha or any other.. no need to take live supplement also.. give liver rest.. test after a month .. will get a complete normal result
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Stop taking Ashwagandha right away and get a USG whole abdomen done if you have any symptoms.
In case of need of further evaluation feel free to consult me
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Discontinue Ayurvedic what ever you are taking
Take liv 52
Weight management
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Ashwgandha and other herbal products can cause liver toxicity.
Please share, what symptoms you have, why was this test done? Do you take alcohol?
Avoid fats in diet, alcohol.
Get ultrasound liver done and share results. Treatment would depend on answer to above questions.
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If you are drinking alcohol kindly stop it and do not take any ayurvedic or homeopathic medicine as of now.it will affect your liver.get ultrasound abdomen to look for liver.avoid eating oily foods,fried food,do exercise regularly.repeat liver function test
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Thanks.
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What your color of stool, do you feel itching, are you alcoholic, do feel pain over right upper side of abdomen with nausea if this symptom you have go for USG whole abdomen
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U got a detailed answer from dr Nityanand so follow his advise. I prefer
Liv 52 one at night for long term.
Stop all the supplement.
Change life style n diet plan drastically. Add walk as an exercise.
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It is normal and in range... nothing to worry about..For good health take less oily food and do regular exercise ..Ashwagandha can cause but less likely
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Your results show mild LFT elevation:
Total Bilirubin: 1.7 mg/dL → slightly high
SGOT (AST): 45 U/L → mild elevation
SGPT (ALT): 74 U/L → mild elevation
These levels suggest mild liver inflammation, not severe liver injury
✅ Could Ashwagandha cause this?
Yes. Although rare, Ashwagandha has been reported to cause mild–moderate liver enzyme elevation in some people.
It can cause:
Elevated SGOT/SGPT
Mild jaundice
Fatigue
Dark urine (sometimes)
If you started Ashwagandha recently, it is a likely cause.
📌 Do this:
1. Stop Ashwagandha and any other supplements.
Liver enzymes often start improving within 10–14 days.
2. Avoid alcohol, painkillers (especially paracetamol in high dose), bodybuilding supplements, and fatty food for 2 weeks.
3. You may take either:
Milk Thistle 140–300 mg once daily
OR
Liv 52 DS 1 tablet twice daily (optional)
(Both are safe, but Milk Thistle is more evidence-based.)
4. Repeat LFT after 3–4 weeks
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SGOT / SGPT if raised 5 times than normal limit then it is significant.
Its ok as of now regarding reports
Stop sweets & outside junk food if having.
Avoid cheeze & butter
Levels will come back to normal automatically
Need not to take any medications
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Nothing is needed
Its all good
Exercise daily
Maintain good diet
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Take either or both. No harm.
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Your liver values are mildly elevated, and the pattern actually fits something very common in young adults:
1. Mild Liver Stress / Early Drug-Induced Liver Injury
Your values:
Total bilirubin: 1.7 (slightly high)
SGOT: 45 (mildly high)
SGPT: 74 (moderately high)
This is NOT severe, but it is definitely not something to ignore.
Many herbal supplements including ashwagandha, gym boosters, fat-burners, and “natural immunity boosters” can cause mild liver inflammation in some people.
So your suspicion is reasonable.
But we cannot confirm the cause without looking at:
Duration of supplement use
Dosage
Alcohol intake
Workout pattern
Past liver tests
Sleep and diet habits
These details matter more than the numbers themselves.
2. Milk Thistle vs Liv 52?
Neither should be started blindly.
Both are supportive supplements, NOT primary treatments.
The real question is:
Why is your liver reacting this way at 22 years?
If we don’t answer that, using random liver tonics is pointless.
Also, starting liver supplements without knowing the cause can delay proper diagnosis if the values rise again.
3. What should actually be done now
Before suggesting any treatment, you need:
Repeat LFT after 1–2 weeks
Ultrasound abdomen (to rule out fatty liver)
History review of all supplements, alcohol, medications
Assessment of symptoms (jaundice, nausea, appetite changes, stool/urine colour)
Only then can we decide whether:
It is supplement-related
A temporary viral issue
Early fatty liver
Something else
This is where personalised guidance becomes important.
4. What you should avoid right now
All supplements (including ashwagandha, pre-workouts, unknown herbs)
Alcohol
Gym overload / heavy lifting
Painkillers like diclofenac or excessive paracetamol
Give your liver a chance to settle first.
If you want, I can help you interpret your numbers and create a proper liver-recovery plan
Once I know your history and habits in detail, I can tell you:
The likely cause of your liver elevation
Whether you need any further tests
Whether milk thistle/Liv 52 will help in your specific case
How to normalise your liver enzymes safely
When to repeat tests
What to do next so the enzymes don’t rise again
You can book a private consultation with me on whatsapp at Nine Three Two Six Zero Two Zero Five Three Six so I can review everything step-by-step and guide you properly instead of giving random supplement advice.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Kindly consult
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Dr. Valli Ponsing
General Physician
11 yrs exp
Chennai
Do u take alcohol?
Need more history
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Stop any supplement. Light diet. Avoid oily spicy junk food
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Liv 52
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Dr. Aashi Sisodia
General Physician
2 yrs exp
Jaipur
Your liver function is normal.
Next Steps
stop taking herbal medications as in long run it can cause deranged liver function.
Health Tips
it's better that don't self medicate, and for a healthy liver you should take plenty of fluid, take good diet and exercise regularly. Liver is a regenerative organ only few lifestyle modification can lead to healthy life ahead
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
Needs proper history... consult for further information
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Start detox drink every day morning empty stomach
Start liv 52
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide detailed history for proper diagnosis and further management
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Dr. MD Arif
General Physician
4 yrs exp
Kolkata
Liver Enzymes are slightly elevated. I need few more test to comment.
Next Steps
Consult with Dr
Health Tips
avoid alcohol
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
Liv 52 take it
Stop ashwagandha
May be fatty liver
Once check ultrasound
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