<s>[INST] Hi good day! im just concern with regards to my ALT result its 128 u/l and my GGT level is47 u/l my GP booked me for ultrasound, my question is there anychance that i can take medicine to lower it down or it depends after the result.. im a bit worried.. looking forward soon. thanks! [/INST] Hi thanks for contacting Chat Doctor... Noted your alt level elevated... It is high when hepatocytes get damaged or there is fat accumulation within it that is fatty liver.... So USG is to be done.Let's see report of USG... The Chat Doctor. ... Vitamin supplement also useful. So the response will depend on cause. If hepatitis A it resolves with the time.... For fatty liver low fat taken with more fruits and green leafy vegetables..... Cumin seed with water is herbal remedy that can help in hepatitis. Hope your concern solved..... Take care. </s>