<s>[INST] i have high sgpt for quite a moment and has been taking medication but the result is still the same and would even go up sometimes.had undergone an HBT and Pancreas ultrasound as well as Hepa Profiling and both are normal. What could have triggered these enzymes to go up? [/INST] Hello,Elevated levels of SGPT can be because of few reasons , regular alcohol consumption and, you should also get your thyroid levels, cholesterol levels, sugar levels,  viral markers (Hepatic B or Hepatic C) tested,  and in case all of these are normal , you have to consult your doctor, get further evaluated to rule out other possibilities.Hope I could help you. Thank you. </s>