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

### input:
Hello, I had an Adenopathy in October with fever (39 max) for about 5 days, I did bloodtests back then for CMV, EBV, Hepatitis A IgM & HBs, they were negative whereasresults for SGOT, SGPT, Phosphatases alcalines & GGT were respectively 78, 101,240 & 67. They were high. The doctor asked me to redo the liver tests this monthand the levels are now even higher with no fever or any specific symptoms. Thenew levels are: SGOT: 145, SGPT: 241, Phosphatases alcalines: 222 & GGT: 62. Mydoctor asked me today to visit a gastroenterologist to diagnose the problem. Ihave an appointment next week but im terribly concerned now. What can really bethe problem? Can it be hepatitis? HIV? An STD? I did my Pap test 2 month ago everything is normal.I take lots of ponstant forte during period. Ive also been taking pills to lose weight (forte pharma minceur.Its worth mentioning that I hadan unprotected sexual relation more than 2 years ago and I had hepatitis B andHIV tests twice, 5 month and one year and a half after the potential risk, butthey were all negative. Please advise!

### 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. Viral hepatitis (HAD, HBO, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice:- abstinence from "Alcohol"- 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/oneself Bag is positive also test for HBV DNA and Head. Bag can not be completely eradicated in a patient suffering from Herb. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral Load on a PCR. If HBV DNA count in PCR are not high, liver enzymes should be monitored regularly while Herb markers maybe checked every 6 to 12 months. Hope to answer your concern. Any further questions are welcome. Wish you good health. Chat Doctor. 