Hello doctor. My father, age 63, was diagnosed with hepatitis E one month ago. We sought treatment from a renown gastroenterologist. Enzymes and other LFTs were quite high in the beginning with bilirubin of 4 one month ago. Later on, other values started coming down but bilirubin continued to rose to a highest level of 27.2 two weeks ago when then started coming down slowly. It was 17 one week ago but yesterday we checked LFTs again and it was again elevated to 21 which made us quite concerned. My father is taking Udiliv 300, Ganotan, and lactulose. Appetite is very low right from beginning of problem and he has lost 12 kg. He is following a healthy diet. Is the fluctuation in bilirubin in such a case common. When can i expect bilirubin to be in normal range. What is an average time span for recovery from hep E/jaundice at his age?