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

### input:
Hi my wife 32 years has thyroid problem since 6 years yesterday we checked her again and found- t3 78ng/ml ref range 60 - 200ng t4 6.3 ug 4.4 - 11.6 ug tsh 3.4 0.39 - 5.5 All in normal range but we also did her liver function test and results are Total Bilirubin 0.9 mg ref range 0.2 - 1.2 direct bilirubin 0.3mg 0.2 - 0.3 inderect bilirubin 0.6mg 0.0 - 0.7 SGOT 52 IU/L 0 - 46 IU/L SGPT 72 0 - 49 Alk PHOS 86 IU 0 - 258 TOTAL PROTEINS 7.6 GM 6.5 - 8.5 GM ALBUMIN 4.5 GM 3.5 - 5.5 GLOBULIN 3.1 GM 2.3 - 3.5 A/G RATIO 1:4:1 1:5:1 PLS ADVOISE WHAT TO DO.

### output:

HelloAlthough there are various causes for high liver enzymes, but the most common causes are Diabetes, obesity,high triglycerides, alcoholism,use of plenty of sweets and junk food, use of herbal medications, antibiotics,anti seizure medicines etc., various types of hepatitis etc. Get tested for diabetes, lipid profile,ultrasound abdomen. If any abnormality found in above tests, rectify it. If no abnormality found in these investigations then try to change your lifestyle by reducing weight, avoiding sweets and junk food and doing regular exercises and taking fresh fruits and green vegetables. Do this for 8 weeks and check your liver enzymes. If they are still high, then go for CT abdomen, liver biopsy and testing of hepatitis markers and consult Gastroenterologist. Thanks