<s>[INST] Dear doctor, I have got my LFT report which says that my SGPT ALT is 62 and GAMMA GT is 174. Also i feel pain in my hands and fingers and slight shivering too. Most of the time i work on computers for extended hours. Pls suggest me medicine to cure these two things. Moreover in the report my test for hepatitis B and C have come out to be negative. [/INST] Welcome to Healthcare Magic, Your reports shows elevated liver enzymes, that can be due to infectious factor ( that is ruled out in your case ) and non-infectious ( autoimmune, drugs, chemicals, toxins, food, etc..).For clarification you need more detailed assessment including blood works. To reduce hand pain keep your palm and forearm in same line, straight, elbow joint must be 90 degree, back straight, shoulders relaxed, every 20 minutes stop your computer work and relax your hands, plus massage . I wish you   good luck and speedy recovery, Hope this helps and I have answered your query. If  you have additional queries don’t hesitate to ask. Best Regards, Dr.Mihail </s>