<s>[INST] Hi Shahzad here  am 32years old male from pakistan  recently had a blood test and found that my ALT SGPT Level is 247 which is very high than normal .went to doctor and he suggested me to use some medicine still its 247 .pls suggest me so i can use medication to get it in control.ThanksShahzad [/INST] Hi dear let me know you which medicine you are prescribed?? Noted you have elevated liver enzymes. Rule out cause for it.USG done to rule out fatty liver. Viral marker can rule out viral hepatitis. If you have high cholesterol then gall stone has to be ruled out by USG. The enzymes level will take some time to lower value with clinical improvement if above causes present. Avoid high fatty diet. Avoid junk foods. Cutt off trans fat in diet like cheese, burger, meat, pastry etc. Fruits more Green leafy salad taken more. Avoid smoking and alcohol. Udiliv can be taken. If serum cholesterol level high then statin like Chat Doctor. If still no benefit then celiac disease like malabsorption syn </s>