<s>[INST] Iam 54 yr old female . Now i have been diagonised for fatty and enlarged liver.Iam an indian with clean habits and vegetarian. kindly suggest diet and excersie scheduel. iam weighing 63 kilos and ht 157 cm. can i do cross ramp.kindly suggest. Regards and thanks Rajisrikar [/INST] Thank you for posting your query.increase in the level of liver enzymes reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis".Though your diagnosed with Fatty liver but your also advised to test for HepB & C serology.further advice:- abstinence from "Alcohol and drugs" - LOW or fat free diet should be followed- eat small meals (fat and red meat free) at regular intervals.- Moreover, (no sports)but you may walk daily for around 30 to 40minutes.cross ramp is not contraindicated - use lemon juice (lemonade) once in a day- recheck liver enzymes after 4 to 6 weeks.- viboliv drug maybe used ( after consulting your treating physician/ hepatologist)wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik </s>