<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am a patient of liver diseases. I nee some help for treatment. I am Mizanur Rahman 37 years old, Sex- Male, from Bangladesh.Investigation of liver disease report are as follows:SGPT ALT -79 05-08-2011, SGPT-94 11-07-2011 SGPT always up and down 60 to 94 from 2008.Liver Biopsy- Mild chronic hepatitis, HAI- 7, Knodell Score : 8Microscopic appearance: Sections of liver reveal moderate piecemeal necrosis with a few tiny foci of lobular necrosis. The portal areas contain increased number of chronic inflammatory cells and show periportal fibrosis.Anti-smooth muscle antibody : NegativeCeruloplasmin Blood Serum: 462 Normal value 280-570Anti Nuclear antibody ANA : Negative by ELISALipid Profile : Cholesterol Total: 180 mgdl, Normal value 120-200HDL-Cholesterol: 37mgdl normal value 35.00LDL-Cholesterol : 116.40mgdl Triglycerides : 133mgdl Normal value fasting 10-190hTSH : 2.61 ulUml Normal value adults 0.47-5.01Ferritin : 142.80 ngml Normal male adult 20-300I as also a patient of Muscular dystrophy Myopathy:Muscle, calf biopsy: Features are compatible with myopathy.I have take Treatment : Medicine 1. Laevadosin 2 0 2 The medicine was made by Austria, but I cannot manage itMedicine 2. BIO-E Vitamin E : continued.Please suggest me.Thanking you.  <response>: Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Elevation in liver enzymes has many causes apart from which you have already got. Like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you Chat Doctor. I hope I have answered your query and this will help you. Wish you a good health 