<s>[INST] dear doctor,my name is Jandill billones 26 years of age, 57 in height 78kls. i have a problem in ALT. what should i do to lower my ALT count. My last ALT result is 190 IU/L then a doctor  give me a medicine to take for 3 times a day for 1 week. URSOFALK ursodeoxycholic acid. after one week i reapet the test thin the result is higher from 190 to 140 iU/L. i was worried because the doctor said to me to continue the medicine ursofalk for 2 weeks. please help me doc?salamat [/INST] Hi thanks for contacting Chat Doctor. Noted you have elevated alt. So first find out cause for its elevation. When hepatocytes damaged, enzyme liberated In blood and so elevated level.... You have prescribed ursodeoxycholic acid . It will help in dissolving cholesterol in bile. So you might have fatty liver or gall stone.USG, liver enzymes study, viral marker study will be helpful to investigate ...... For improvement take low fat diet.... Refined food avoided. Fruits taken more like papaya, apple etc. Green leafy salad more. Avoid alcohol. Non veg, junk foods avoided. If obese lose weight by exercise... If you have hepatitis then one tsp licorice with hobby can be taken..... Take care.... Follow up to gastroenterologist after completing USO deoxycholic acid for 2 weeks. Chat Doctor.  </s>