<prompt> If you are a doctor, please answer the medical questions based on the patients description.my husband, aged 27 yrs, lab test showed sgpt level of 114. he lately started feeling tired, after normal routine work. what diet should be given ures can be taken to get the and what other measures should be taken to get the levels down to normal. in two years its the third time his levels have raised.  <response>: Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than two times the upper normal limit, is considered abnormal in some countries, ALT or AST values of more than 100 are considered abnormal. Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Viral causes herb and C should be excluded. Viral serology test should be done. Advice :- abstinence from Alcohol if alcoholic - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption oily food- NO red meat-green vegetables should be ingested daily-use lemon juice lemonade once in a day-reduce weight if overweightobese-recheck liver enzymes after 6 to 8 weeks andor ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. 