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

### input:
Hello! I am 41 years old n am suffering from high levels of SGOT SGPT N BILLIRUBIN... Though this is not the first time.....I feel very sick my skin is very irritating n itchy n my body temp. Keeps fluctuating ...what cud be the reason?  My gall bbladder was removed about 10 years ago!  Right now I am taking Cetzine (Twice) for itch n Ursocol 300 thrice daily.  I am on a strict diet of non greasy food with no spices...pl. advise why this keeps recurring time n again ..Also I wud like to mention that I had recently taken Primolute N to push my periods a little further... could this medicine have elevated the levels?  If so pl. Advise as I will refrain from taking it in future!  Thank You...:)

### output:

Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that 10 years back you were operated for gallbladder removal. Now S G O T, S G P T, serum bilirubin level raised. You mentioned that you are taking PRIMOLUT-N (norethisterone) and after use of this Chat Doctor.  So please note the side effects of primolut-n as, homeostatic jaundice, urticaria (as you are already taking cetirizine for allergy i.e.itching, so primolut-n further aggravate itching). 2nd thing primolut-n is contraindicated in hepatic dysfunction as all enzyme level are raised, so this is not fit for you.3rd special precaution should be taken in hepatic impairment during primal - n use. In my opinion please get in MRI and ultrasound of LIVER and consult a liver specialist. In my opinion you should not take primolut-n. Good luck. 