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

### input:
hi sir,,sir my sgpt is 130,,and i want to reduce it,,i have done my hepatitus test ,,but ther wese normal(non reactive)then dr suggest me to do ultrasound ,,,when report comes there is mild fatty lever.i never use alcohal,,but i smoke..i like fastfoods,,sir i am using SILIVER and VITAMIN E  tablet,,what do u suggest

### output:

DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN THAT YOUR SEPT IS HIGHBOY NEED TO DO THE FOLLOWING TO TREAT YOUR FATTY LIVER AND THUS YOUR SGPT1) YOU NEED TO AVOID OILY FOOD AND FAST FOOD AS WELL2) I NEED TO KNOW YOUR WEIGHT AND IF POSSIBLE TRY TO REDUCE AND LOSE WEIGHT HENCE I ADVISE 20 MIN OF BRISK WALKING DAILYT3) CONTINUE WITH TABLET VITAMIN E4) TALK TO YOUR GASTROENTEROLOGIST AND CONSIDER STARTING OF TABLET USO DEOXYCHOLIC ACID .  AS STUDIES HAVE SHOWN THAT URSODEOXYCHOLIC IS BENEFICIAL IN FATTY LIVER5) GET A FIBROSIS DONE AND MESSAGE ME THE REPORTSHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS