<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi myself mithun 34years oldm. My SGPT last check up two months back is lavel is 59 from 88 was on 11months back.My doctor prescribed me LIVOPAL DS twice daily for 100days at the first check up and also prescribed same on 2nd check up. I am not feeling fit even i avoid the fatty foods most of the time.pls suggest me what is going on and what should i do is there anything worry.ThanksMithunage-34yearsheight-57weight-73.5kg  <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. Advice :- Rule OUT Hepatitis B and C- abstinence from Alcohol - 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. 