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

### input:
good morning doctor rao,i am raju 54 years old having diabetes and high bp for last 13years.i am under weight with 45kgs.from my child hood.i am using the following medication for the above as per the doctors advice.1. tozar 50 (losartan potasium)one TAB DAILY2.glycyphase(metaformin)1 TAB DAILY3.VIZYLAC(MULTIVITAMIN)I AM A SMOKER 5 TO 10CIG ADAY2 I TAKE ALCHOHOL 180 ML DAILY.DURING MY RECENT HEALTH CHECKUP,THE RESULTS OF LFT AS FOLLOWS:S.TOTAL PROTEIN      6.9 G/DLS.ALBUMIN                4.1S.GLOBULIN               2.8S A/G RATIO              1.5SGOT                       57SGPT                        67  ALKALINE PHOSPATASE 235SGGTP                       340TOTAL BILIRUBIN         0.9DIRECT BILIRUBIN        0.49MCV                          103.5     FLOTHER LIPID PROFILE TEST RESULTS ARE NORMAL.KINDLY ADVICE AND EXPLAIN STATUS OF MY LEVER PROBLEM AND TREATMENT FOR WHICH I SHALL BE GREATFUL TO YOU.WITH REGARDS, RAJU

### output:

Hello, I hope you are well, even though you are not overweight or obese, you have metabolic risk factors such as diabetes mellitus and long-term hypertension, factors that can condition a fatty liver, in addition to the consumption of alcohol that May be contributing to your problem. You present a very slight enzyme elevation, less than double for your gender, however, you need to perform an image study as a liver ultrasound to study the characteristics of the organ. There are several types of noninvasive studies to determine the degree of stenosis / fibrosis that you present for the purpose of performing an early detection and implementing actions for the prevention of disease progression.