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

### input:
Last December 2010 my SGPT was 49 but when checked again last January 2011 it rose to 76.  My Doctor told me to take Legalon 140 mg 2 x a day and Im taking it since then up to this time.  I had my SGPT checked again last May 18, 2011 and it went down to 60 although I know that it is a little bit higher than the normal values.  What medicine is best for me to take to reduce my SGPT, is it Essentiale forte or Legalon 140 mg.

### output:

Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes every 6 month sits not necessary to continue Essential forte or Legal on 140 mg. Prevention is better than cure, and you should follow strict diet to bring the enzyme values back to normal. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. 