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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Elevated Liver Enzymes Be Managed?

Hello Doctor, i am 57 years old 63kg in weight . My liver function test showed the following SGPT 57 u/l SGOT 60 u/L GGT 104 u/l. I am in the habit of taking drinks daily but limited to 3 pegs. My doctor has prescribed estuchol 300 twice a day for two months . Besides the above I also take Rosufit 10 mg, cardace H10 and Concur 10 mg daily for control of BP. How serious is my condition wHAT ELSE DO YOU SUGGEST
Sat, 14 Apr 2018
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Ayurveda Specialist 's  Response
Hello,

Apart from alcohol being hepatotoxic, another cause of mild elevation of the liver enzyme is muscle injury due to exercise without causing any other symptom, so as I'm unable to examine you directly it could possibly be related with alcoholic liver disease in the initial stage, and because you are already taking medication for high cholesterol and blood pressure so to know the staging and prognosis kindly consult your physician or a hepatologist. Check with ultrasonography to exclude fatty liver. I at most can let you know about the diet, lifestyle, and investigations which one has to follow:
-Blood examination: Hb%, TLC, DLC, ESR [ESR will be increased in presence of infection]
-Liver function test: Serum Bilirubin, SGOT/SGPT/Alkaline phosphatase.
-Keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.
-Take Antioxidants, probiotics, low carbohydrate diet, fish, beans, legumes, low-fat milk, yogurt, olive oil, coffee, raw garlic, spinach, taro root, soybean, broccoli, carrot, mango, papaya, pumpkin, cauliflower, tomato, mushroom, cheese.
-Avoid milk/dairy products, heavy food, oily/fried food, iron, Kapha food.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Munish Sood
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How Can Elevated Liver Enzymes Be Managed?

Hello, Apart from alcohol being hepatotoxic, another cause of mild elevation of the liver enzyme is muscle injury due to exercise without causing any other symptom, so as I m unable to examine you directly it could possibly be related with alcoholic liver disease in the initial stage, and because you are already taking medication for high cholesterol and blood pressure so to know the staging and prognosis kindly consult your physician or a hepatologist. Check with ultrasonography to exclude fatty liver. I at most can let you know about the diet, lifestyle, and investigations which one has to follow: -Blood examination: Hb%, TLC, DLC, ESR [ESR will be increased in presence of infection] -Liver function test: Serum Bilirubin, SGOT/SGPT/Alkaline phosphatase. -Keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don t signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed. -Take Antioxidants, probiotics, low carbohydrate diet, fish, beans, legumes, low-fat milk, yogurt, olive oil, coffee, raw garlic, spinach, taro root, soybean, broccoli, carrot, mango, papaya, pumpkin, cauliflower, tomato, mushroom, cheese. -Avoid milk/dairy products, heavy food, oily/fried food, iron, Kapha food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood