I can see the following key values:
Liver Enzymes
• SGPT / ALT = 740.39 U/L (Normal < 45) → Very high
• SGOT / AST = 735.99 U/L (Normal < 35) → Very high
• GGT = 55.29 U/L (Normal < 50) → Slightly high
• Alkaline Phosphatase = 94.76 U/L (Normal 45–129) → Normal
• Bilirubin (Total) = 0.65 mg/dL → Normal
• Albumin = Normal
Interpretation
The pattern here is marked elevation of SGPT and SGOT, while:
• Bilirubin is normal
• ALP is normal
• GGT only mildly raised
• Albumin normal
This is a pure hepatocellular injury pattern, commonly seen in:
Possible causes
Acute hepatitis (viral hepatitis A, B, C, E)
Alcohol-induced liver injury
Drug-induced liver injury, especially:
Painkillers (diclofenac)
Antibiotics (azithromycin, amoxiclav)
Herbal supplements
Gym supplements or protein powders
Fatty liver with flare
Recent fever/viral illness (even dengue can spike enzymes)
ALT/AST > 700 suggests significant inflammation, not a mild rise.
Next Steps
Do you need medicine?
Yes — medical evaluation is required, but NOT random medicines.
Recommended immediate steps
✔ STOP all alcohol
✔ STOP gym supplements, herbal powders, protein shakes
✔ STOP unnecessary painkillers (NSAIDs)
✔ Avoid heavy, oily, spicy foods
Medicines usually given
Only after doctor review:
• Hepatoprotective agents (Udiliv / Ursodeoxycholic acid OR Liv 52 / Silymarin)
• PPI if acidity
• Hydration, rest
But the correct treatment depends on the cause.
Health Tips
You MUST do the following tests immediately
To find the cause:
1. Hepatitis Panel
• HBsAg
• Anti-HCV
• IgM Anti-HAV
• IgM Anti-HEV
2. Liver Ultrasound (USG Abdomen)
3. Repeat LFT after 5–7 days
⸻
When is it dangerous?
Seek urgent care if:
• Yellow eyes (jaundice)
• Vomiting
• Severe abdominal pain
• Very dark urine
Currently, your bilirubin is normal, so no jaundice — this is good.
⸻
Conclusion
You should not ignore this report.
The enzymes are high enough to require evaluation, but this condition is usually treatable if addressed early.
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Hi...your liver enzymes are raised which points towards some metabolic derrangements...full history and detailed investigation is required to reach a diagnosis...
You can consult me on nine nine three four eight three one six zero six
Next Steps
consult a doctor n get detailed investigations done
Health Tips
avoid oily n spicy food
take fiber reach food
take lots of fruits
Raised liver enzymes can be because of deranged lipid profile, high cholesterol, high triglycerides, alcohol intake or infections.
Need to know detailed history before giving opinion.
Better to consult.
How much is your weight? And did you do any lipid profile? Contact me via practo or the contact number given for online video consultation.
Have a nice day.
The liver enzymes are elevated, perhaps due to fatty liver, considering your obesity.Losing weight and following a healthy diet, restrict fatty and oily food are the important measures.Get an ultrasound scan abdomen as well.
Hello, I am Dr Romain Rajan, General Physician. Your case has been allotted to me.
I have reviewed your report. Most parameters are normal. The only concern is that your GGT is mildly elevated, which usually indicates early liver strain due to alcohol, fatty liver, certain medicines or irregular food habits. It is not dangerous right now but it should not be ignored.
Advices
1 Reduce or completely avoid alcohol for three to four weeks as it is the most common reason for raised GGT.
2 Increase daily water intake and include fruits like papaya, citrus fruits and leafy vegetables as they support liver recovery.
3 Avoid unnecessary painkillers and maintain timely meals to reduce stress on the liver.
What to Monitor
1 Any new fatigue after meals.
2 Dark urine or yellowing of eyes.
3 Pain or heaviness on the right upper side of the abdomen.
Management
You may start a simple liver supportive syrup or tablet containing silymarin or similar ingredients. These are generally safe when taken in proper doses.
Most patients see improvement in GGT once alcohol is controlled and diet is cleaned up. After understanding your lifestyle pattern, alcohol intake, and any existing medicines, I can guide you with the correct medicine, dose and duration.
When to Consult a Doctor Immediately
1 Persistent vomiting.
2 Severe abdominal pain.
3 Yellow discoloration of eyes or skin.
Every patientâs situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your medical history and symptoms in detail.
You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive
1 A personalised treatment plan
2 Safe medicine adjustments if required
3 Quick follow ups to track your recovery
Take care, wishing you good health.
Dr Romain Rajan
General Physician
Hi
From the information provided by you, I can understand that you are in obesity III category with BMI of 42
You have to lose around 41 kg of your weight to lead a healthy life
And I also wanted to know about the history of alcohol intake
SGOT and SGPT are high, indicating possible liver damage either due to alcoholism, or fatty liver due to poor dietary habits, etc....
Kindly consult with me for further information and treatment
Take care
Take small frequent meals,
Avoid spicy, fried, fat rich foods
Avoid consumption of alcohol
Adequate fluid intake
Next Steps
Repeat d same investigation after a month , if found to be raised then consult doctor. Few investigations may required for further evaluation & management.
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 shall try to the best of my abilities to consult you
The report shows elevated GGT, AST and ALT levels which are often seen in obstructive jaundice
However their are many causes of instructive jaundice such as gallstones, bile duct stones, biliary duct atresia, PSC, PBC and many more illnesses
I would like two ask you two questions so that I can better narrow down to the diagnosis
# Do you have a history of alcohol consumption? How long have you consumed it, when was your last drink and how much dose per day (glasses/day)?
# Do you have any family history of liver disease?
As the causes are many, it is almost impossible to diagnose and treat via this Q/A forum
It will require extensive workup (history, investigations) to reach the root cause of the issue followed by corresponding treatment plan
I urge you to get in touch through one on one consultation with your family physician or any physician who you are comfortable with.
If you feel I can be of better service to you
Feel free to book a one to one consultation via practo app
Note: I am sorry for not providing WhatsApp contact henceforth due to issues pertaining to Medico legal protection of both client and the doctor
One time consultation fee = Rs 200
Follow up consultation= Rs 100
Hope this advice provides you the much needed insight
Wishing you a speedy recovery
GGT – 55.29 (Normal < 55)
🔸 Slightly high / borderline.
SGOT / AST – 73.5 (Normal < 35)
🔴 High
SGPT / ALT – 140.79 (Normal < 45)
🔴 Very High
Interpretation
High ALT & AST means liver cell inflammation (hepatocellular injury).
Mild increase in GGT can suggest alcohol, fatty liver, or medicines effect
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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