### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, My sister in law back in Bangalore, INDIA is pregnant with her second baby and is 32-33 months pregnant. She started having itching in her palms and legs 2 weeks back and it didnt go away. She also gained weight of 6 Kg in a month. Doctors did some test and found elevated levels of SGOT (56) and SGPT (92) on 24-Jan-13 and prescribed her Udiliv 300 MG. However it didnt go away and Doctors repeated test and found very high levels of SGOT (194) , SGPT(289) on 3-Feb-13. The immediate diagnosis of fatty liver does not seem to hold true because her other levels are normal and there is no jaundice or vomiting etc. Viral Hepatitis Test is also negative. One of the options being discussed is to give steroid injections to fast develop baby lungs and get the baby prematurely out. What is best course of action for her and the baby including but not limited to medicines, natural foods , avoidance etc. Is it necessary to have the baby prematurely out with help of steroid injections ? Are there any side effects of steroid injections ? Can she take Liv 52 Syrup for liver health while taking Doctor prescribed medicines. Any pointers from you will be appreciated , please advise. -Sincerely

### output:

Hi, From the description given it appears to be a case of HELP syn Chat Doctor.  The patients need to take liver protective agents like orbiting containing preparations along with sorbitol or trampoline citrate. Adílio will not help. Steroids will have deleterious effects on the Hi tract rather than the liver. A close watch needs to be kept on the liver function. Liv 52 is an ayurvedic liver tonic which may not be of significant help. I would advise you that she should be kept under close supervision of team of doctors comprising a gynecologist, pediatrician and a gastroenterologist. This will reduce the chances of missing out on any complication. I hope this answers your quarry. Regards