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

### input:
Hi Doctor,I am stephen, I am a 28 years old, As per my last test, I found that my SGPT value is 149 which is 4 times higher that normal as per the consultant. I married last year and trying or a child but she is not concieved. Do this Fatty liver cause any infertility doctor... thanks in advance...

### output:

Hi. Thanks for posting query at Chat Doctor. Direct liver to injury does not lead to infertility BUT liver inflammation should be properly investigated. Rule out hepatitis B and C as a cause of increased liver enzymes. Stop taking any medication that maybe injurious to liver. Usually ALT (SGPT) or AST (GOT) 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:- abstinence from "Alcohol" altogether-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 after 6 to 8 weeks" and/or ultrasound. Hope to answer your concern. For further queries, you may post a direct question to me via Chat Doctor portal.http://doctor.ChatDoctor .com/Funnel page=askDoctorDirectly&docId=71638 regards Chat Doctor. 