<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello Doctor,My husband is diagnosed with fatty liver in ultrasound report while he has elevated AST ALT in blood test report which i am giving here :1.Total Billirubin : 1.06 mgdl2.ALT : 252.3 UL3.AST :93.0 UL4.LDL cholesterol : 139.14 mgdl5.Cholesterol HDL ratio : 6.54 Doctor has suggested him to take ursocol 300 omeprazole ... instructed for more blood test which are liver related.his sugar level was also hiked in the report. first time observed high sugar level . he is only 29 yrs old.suggest me pls. i m very much worried.  <response>: Hello, The most common causes for fatty liver and high AST SND ALT are alcohol consumption, however in absence of alcohol consumption other reasons which are important are high cholesterol, consumtion of more sugar and diabetes. In your case, probably high cholesterol and diabetes are responsible for your fatty liver and high liver enzymes. There is a lot of controversy regarding the medication as many gastroenterologists feel that medicines like PROTOCOL have no use. The best and ideal treatment is quit alcohol, if any, control your cholesterol and blood sugar levels, do regular exercises and shed your weight. Get your liver enzymes tested after 3 months. Most likely you should be all right. In case, you dont find improvement, consult a gastroenterologist and get yourself tested comprehensively. Thanks 