<s>[INST] I have stage 4 cancer   2 years...undetermined primary...tumor on hip bone...now spread to ribs...heavy chemo 1/10...given 6 mos.  now back (almost 18 mos.)... spread to rib (bones...secondary)...now chemo every 3 wks.  for rest of life...on my 3rd round of 3 wks test now show high alt/sgpt and low albumin.  what can i do to help high.  Read I need to increase protein intake for high.  What if anything I can do to lower high alt/sgpt? Every doctor I have seen says that they have never seen this before....some are quite enjoying specimun (me).  Been to mant top cancer  centers so I feel quite satisfied that we have correct diagnosis....undetermined. [/INST] HI Welcome to Chat Doctor Very sorry for your condition. See your SGPT/Alt is high because of two reasons. 1, Chemotherapy.  2. Could be a spread to Liver.  Ask your Oncologist to either change the chemo regime or reduce the dose (if possible) as that might help your Alt levels.  I also advise you to take Header 1 sachet every day for 1 month. This will bring down your SGPT levels.  If you can post your reports I can help you better. </s>