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

### input:
Hi Doc! Im a male, 25 years old. I was given the results of our Annual Physical Exam (done last Feb 2013) and found that my SGPT is 157 U/L (a month before that I twisted my left ankle). Our office physician asked me to redo another test from other labs. Got the result today and found that it s 65 U/L. I did not change my diet nor taken any meds before doing another test. Is that normal? I was told that the normal count is 40 U/L. But a drastic drop after a month is a bit shocking to me. I don t have any vices. I have observed that Im currently gaining weight. The office physician now asks me to do a Lipid Profile and HBsAG . Im just getting worried. Is 65 U/L SGPT something to worry about?

### output:

Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Elevated transaminase levels that is SGPT suggest inflammation in liver cells and may be harmful in long term. So you are required to be evaluated to find the cause of the elevation1. Avoid alcohol if you are taking2. Obese or overweight may be associated with NAFLD so see your weight and reduce it if it is more3. Lipid profile4. Tests for Hepatitis B, Hepatitis C, Serum ceruloplasmin for Wilson disease, and ANA and SMA for autoimmune disease5. Get ultrasound abdomen also to see for liver echotextureI hope I have answered your query and this will help you. Remain in touch and get-well soon.