Question: Hello Doc., My name is XXXXXXX Jain, I am from Mumbai, India,
I recently had my blood test i.e. on 6th sept. 2013
Result :
1. SGOT is 84 U/L & SGPT is 173 U/L
2. TSH (Ultrasensitive), serum is 10.60
Query are the above 2, very high, if yes please guide me what is normal & how can i make it to normal.

Dear Dr. XXXXXXX

Thanks for your reply,

1. Yes, both the values are deranged. High liver enzmes (SGOT and SGPT)
values suggest liver dysfunction and high TSH suggest underactive thyroid
(hypothyroidism).
---- OK

2. You will need further evaluation to understand the cause of both these
metabolic changes.
Do you consume alcohol?
---- YES
Did you suffer from infection recently?
---- NO
Do you have jaundice?
---- HAD 10 YEARS BACK
What are the other liver function test results?
---- NOTHING

3. Normal SGOT and SGPT are under 45 and 55 U/L respectively.
And normal TSH value is under 5.5 mIU/L
----OK

4. Liver enzymes improves as the causative factor is withdrawn.
Therefore it is important to discuss about the causes with your treating doctor.
Further investigations will give your doctor clues about the cause.
Off course if you are on who consumes alcohol, it needs to be withdrawn immediately.
-----OK

5. As far as TSH is concerned, you will need to be started on thyroid supplements. I use thyronorm 75mcg tablets once a day in my patients with similar values after reviewing other thyroid function tests. Discuss with your treating doctor.
----OK
__________________________________________________________________
Query : I consulted my doctor on 06th sept. 2013 & he informed me,

(a) Before the blood test done on 6th sept. 2013, i had consumed alcohol in large qauntity prior night i.e. 5th sept. 2013, so it affects the report (SGOT and SGPT) as the alcohol was in blood.
Therefore, nothing to worry about & no medication is required.

(b) No need to start medicines for thyroid at this stage.

My query sir, are the above consulting (a) & (b) provided by my doctor correct.

Ok Sir, thank you so much for your help.