Bikram, the reasons for elevated levels of AST & ALT are
1. Hepatitis A, Hepatitis B or Hepatitis C
2. Drugs like Statins taken to reduce high cholesterol
3. Alcohol & Cirrhosis.
4. Gall bladder stones & Gall bladder inflammation
6. Fatty liver disease.
Udiliv-( 300mg) is Ursodiol or Ursodeoxycholic
acid given to dissolve gall stones. AST & ALT are elevated when gall stones are in common bile duct. Udiliv also reduces cholesterol by inhibiting the enzyme necessary for the synthesis of cholesterol.
This drug is preferred only if the stones are small in size & could be easily dissolved & if the gall bladder is still functional. Otherwise Cholecystectomy
(removal of gall bladder) is preferrable. Because only in one third of patients Udiliv dissolves gall stones & the duration of treatment usually extends up to 2 years (the drug is expensive ).