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

### input:
Hi, may I answer your health queries right now ? My friend is worried her doctor told her that the Ast levels were high. She has high cholosteral and the doctor never told her right aWay her results and that she needed to have a hepatitis work up and she might have heptitis A or hpv. When she saw the doctor she was going to do a papsmear but said she didnt want to do one since she had an infection (white discharge the doctor said). She showed my friend the discharhe but never sent to the lab, the doctor said its from stress and it wasnt anything to be concerned about and she would give her meds for it. Well the doctor never called them in and she wonders if the doctor was a good doctor since she never looked further into this and didnt call her right away about her results. What do you think? Is the vaginal infection related to high ast levels? I know ast has to do with the liver. Also she had blood work a month ago why didnt the ast levels show up high at that time? She has also taken pain meds for her ankle problem ibprofen she took.

### output:

Hi, 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. However, HBV and HVC should be ruled out also.advice:- 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 after 8 to 12 weeks and/or ultrasound. Any further questions are welcome. Hope to answer your concern. Wish you good health. Chat Doctor. 