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

### input:
Hi, My SGPT is 61 and normally its usually 18 all the rest LFT was WNL is this indicative of any problems? Do I need to check for Hep C. or have titers done for Hep B(was vaccinated for Hep B)? Or is there any thing else to consider. The day before this blood test was done had severe nausea. For my blood tests I was fasting from 12M and blood drawn @6AM.

### output:

Thank you for posting query. Hepatitis presentation. Further evaluation needed. What is your height and weight?herb is unlikely as your already been vaccinated. Anti HCV antibody and anti HAD antibody maybe test along with "lipid profile".high fat in body and HEPA infection are also common causes of hepatitis.HEPA is self limited disease. Fatty liver disease needs diet modification. Secondly, "proper REST" should be followed along with proper diet. Exercise and sports is usually NOT advice in acute hepatitis. Thirdly usually it takes 2 to 4 weeks to come down for liver enzymes and another 2 weeks to return normal. Therefore advice is:meanwhile:- abstinence from Alcohol - LOW fat diet should be followed-NO red meat-vegetables should be ingested daily-REST more, Fewer activities-use lemon juice (lemonade) once in a day- Liv52 maybe used after visiting a hepatologist and taking his advice-"recheck liver enzymes after 2 to 4 weeks". 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, Chat Doctor. 