<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hii Doc, Pease help me : 1. How to reduce the SGOT and SGPT? I means with medicine and without medicine, or there are any special treatment to do ? 2. How the procedure if we would like to do the operation of lipoma under the feet ? This operation need totally anesthesia or just local its call spinal anesthesia? Thanks.  <response>: Hello Increased SGPT indicates liver injury. Increase in SGPT may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc.GOT is non-specific, and it increases in many conditions. You need few other investigations like routine hologram, Random blood sugarRBS, Complete liver function testLFT, Viral markers, ultrasound of abdomen. Further investigations can be done if needed. Proper treatment depend upon findings. You may need few medicines after investigations. Lipoma under feet should be ideally removed under spinal anesthesia. Lipoma may have internal extension, so only local block should be avoided. Get well soon. Hope I have answered your question. Take Care Chat Doctor. 