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

### input:
Hello Doctor. I had my LFT recently in which all other values were in the high but within normal range with bilirubin being 0.9. But my ALT(SGPT) level was above high range i.e. 73. I had a fried diet before going to the test. I am worried as I have to give medical next week for my immigration. So i went to my family doctor who advised upper abdomen ultrasound. result for everything was with increased parenchymal echogenity and fatty liver grade 2. I need to bring this ALT level down asap so that nothing wrong appears in my immigration medical. Do i need to have Hep test. I am on Vitamin E 400 2 times a day with dieting. Kindly advise, many thanks.

### output:

Thank you for posting your query.GOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell and some other tissues. These enzymes play an important role in the metabolic processes. An increase in the level of these enzymes reflect an INJURY to the Liver. Medically, the condition is known as "Hepatitis". Lab results reveal MILD hepatitis. You need to test for Herb & C serology too. If all causes of hepatitis are ruled out, then abstinence from "Alcohol and Chat Doctor.  Moreover, less activity should be carried out (no sports).  Recheck liver enzymes after 2 to 4 weeks. Wish you good health. Further queries are welcomed. 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,