<s>[INST] hi!my husband has high sgpt result last week to be exact 165 and then advised to take a week medication with proper diet and exercise, but he made the test again just today and to our surprised its even more higher 165-225..pls help us he aleady had an ultrasound for the liver and the result is negative..his weight is 82  and height 5"11 [/INST] Thank you for posting query. Hepatitis presentation. Cause not mentioned. What caused hepatitis? Did you rule out Hep B & HEPA? Test for Bag, anti HCV?secondly, "proper REST" should be followed along with proper diet. Exercise and sports is usually NOT advice in acute hepatitis. Thirdly usually it takes 2 to 4 weeks to come down for liver enzymes and another 2 weeks to return normal. Therefore advice is:meanwhile:- abstinence from Alcohol - LOW fat diet should be followed-NO red meat-vegetables should be ingested daily-REST more, Fewer activities-use lemon juice (lemonade) once in a day- Liv52 maybe used after visiting a hepatologist and taking his advice-"recheck liver enzymes after 2 to 4 weeks". Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor.  </s>