<s>[INST] i have undergo a physical exam and they found out that i have a high level of sgpt.  however i go for ultrasound and they said that my liver is in good condition, now my question is it really normal that my liver is normal and at the same time it has a high level of sgpt? my sgpt is 254, please help me im very anxious on my health condition because i might lost my job. and what are the treatments and proper diet for me and usually how long will i have to take my treatments. thank you so much please help any advise.. God bless! [/INST] Hello Thanks for writing to ChatDoctorIncreased SGPT indicates liver injury. Increase in SGPT may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You need proper evaluation. You need few more investigations like random blood sugar(RBS), renal function test(RFT), lipid profile, GGT level, complete liver function test, urine RE/ME. You should avoid red meat and high fat milk products. You should avoid fried and junk food. Medicines should be prescribed after complete investigations. I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily after food for three months. This help in regeneration of liver cells. Get well soon. Hope I have answered your question. Take Care Chat Doctor.  </s>