Dear sir, Elevated sgpt can be cause by hepatitis
of any kind, biliary diseases, diabetes
, some medicines and other liver damage
. 489 is pretty high and thid definitely means something. You dont need to have symptoms during the early stage of disease. You can feel tired, have pain in right side of abdomen,nausea
and other non-specific symptoms. You need to do liver US or CT to find is it just fatty liver
or some more serious disorder. Also you need to check viral markers and chabge you r lifestyle,avoid food and drinks which are bad for liver and do sport. Also repeat your enzymes tests constantly to see the dynamic of it.
Wish you good health. Dr. Ivan Romic