<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have stage 4 cancer 2 years...undetermined primary...tumor on hip bone...now spread to ribs...heavy chemo 110...given 6 mos. now back almost 18 mos.... spread to rib bones...secondary...now chemo every 3 wks. for rest of life...on my 3rd round of 3 wks test now show high altsgpt and low albumin. what can i do to help high. Read I need to increase protein intake for high. What if anything I can do to lower high altsgpt? Every doctor I have seen says that they have never seen this before...some are quite enjoying specimun me. Been to mant top cancer centers so I feel quite satisfied that we have correct diagnosis...undetermined.  <response>: HI Welcome to Chat Doctor Very sorry for your condition. See your SGPTAlt is high because of two reasons. 1, Chemotherapy. 2. Could be a spread to Liver. Ask your Oncologist to either change the chemo regime or reduce the dose if possible as that might help your Alt levels. I also advise you to take Header 1 sachet every day for 1 month. This will bring down your SGPT levels. If you can post your reports I can help you better. 