<s>[INST] I am suffering from hepatitis A since the 8th of August. My LFT counts came nearly normal so I resumed college and I had a relapse where my billirubin went upto 13.6 and my SGPT AND SGOT went to 675 and 750 respectively. Its been a month since the relapse and now my billirubin seems to be reducing it came down from 13.6 to 8.2 and now to 2.1 but now my SGPT/SGOT seems to be fluctuating ranging from (SGPT) 675 to 160 and now its gone up to 280 and similar range for SGOT as well [/INST] Hi and welcome to Chat Doctor, thank you for your query. Such LFT fluctuations are expected after any viral hepatitis infection and if you don't have any other symptoms, you don't have to be worried. You should just check for some other viruses, B or C and follow hepatoprotective diet. It means, avoid alcohol, smoking and fats and Chat Doctor.  Antiviral medications may be necessary in some cases but hep an is usually treated conservatively, and it should pass in 1-2 weeks. Wish you good health. Regards. </s>