<s>[INST] Hi, i was very worried about my dads blood result. it shows that he was high in SGOT (79) and SGPT (159) and ALK.Phos. (215). Morever he was high in Direct Billirubin (2.8) and Total Billirubin (5.5) too. Help me please i love my dad . thank you so much. [/INST] Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are significantly elevated liver markers and further evaluation is required. He should do CT biography and check viral markers to rule out viral hepatitis. Also, there may be bile duct obstruction due to stone or tumor since ALP is elevated too, so this should definitely be ruled out. Till this he should eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on Chat Doctor.  </s>