<s>[INST] im 23 year old male height 166 cm weight 76 kg residing in new mumbai.hav developed hidradenitis suppurtiva almost ayear long still no results.due to little increse in sgpt 60,sgot 182,s cholestrol 240,ldl 175...they told that they cannot start isonetrine .im suffering from this for more than a yer can u suggest me treatmnt or surgery vl b better option. [/INST] Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Liver enzymes are elevated indicating abnormal liver function. In this condition, isoretinoin is contraindicated.2. The lipid profile is abnormal. If the liver function and lipid profile comes near normal limits, isoretinoin can be started3. Isoretinoin can be very helpful in hi Chat Doctor.  Look into medications and diet.4. Medical treatment is better for hi </s>