<s>[INST] What is the stage of disease and condition of liver the following values BILIRUBIN 0.19 mg/dl BILIRUBIN 0.6 mg/dl BILIRUBIN (INDIRECT) CALCULATED 0.41 mg/dl ASPARTATE AMINOTRANSFERASE ( SGOT ) 53.7 U/l ALANINE TRANSAMINASE (SGPT) 65.8 U/l ALKALINE PHOSPHATASE 121.6 U/l GAMMA GLUTAMYL TRANSFERASE (GGT) 30.8 U/l PROTEIN - TOTAL 7.45 gm/dl 6.0 - 8.3 ALBUMIN - SERUM 4.25 gm/dl 3.2 - 5.0 SERUM ALBUMIN/GLOBULIN RATIO 1.33 [/INST] Hello. Welcome to Chat Doctor. Your total bilirubin levels are within normal range, as are alkaline phosphatase, gamma GT and total and differential proteins. However, the direct fraction is a bit more than indirect fraction, whereas it should account for nearly one third of total bilirubin. Also, there is a mild elevation of hepatic enzymes-S GOT and SGPT. The cause for these could be alcohol/ Chat Doctor.  In case you are asymptomatic, you just need to wait and watch by abstaining from alcohol and discuss with your clinician regarding any medication which you are on. You can get your enzymes and bilirubin tested after a month or so. However, if you are presently or in the past have been symptomatic with jaundice/ previously documented abnormal LFT, you need to have additional investigations (viral markers) and ultrasound of the hepqatobiliary region. Based on results of these, the further course of action will be decided. Hope this helps. Take care. </s>