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Hello doctor, In April 2019, just family checkup revealed high level of ast / alt levels of 129 and 286 respectively. Doctors advised for usg abdomen and results of usg were- liver is enlarged in size (right lobe span 16. 84 cm) and shows uniformly increased parenchymal echogenicity (grade -1 fatty liver). Doctor put me on golbi 300 for first month and results of ast/alt were 69 and 89. Doctor advised me to continue golbi 300 and there after levels started increasing with golbi (in aug 74/ 134 levels of ast/ alt) and in september 108/186 levels with golbi 300 which I took for six months after the initial levels were significantly reduced. Changed doctor - hepatitis b& c were normal, ecg normal and doctor prescribed evion 400 two times a day and there after the levels started reducing. After two months of evion 400 twice a day 108/ 186, third month same dose 95/108 and fourth month 66/95. repeats ultrasound again-this time it shows normal liver size with fatty changes (diffuse grade 1 fatty liver). Now enlarged liver is gone then why alt/ast is not getting normal? For how much time I need to take evion 400 twice a day as I am taking it for last 4 months and causes of high liver enzymes. Cbc/other liver profile test/fbs all are normal. Please suggest best.
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Please avoid: 1.drinking and smoking 2. Sugary foods such as candy, cookies, sodas, and fruit juices. 3. Fried foods. These are high in fat and calories. 4. Extra salt 5. White bread, rice, and pasta. 6. Red meat. Continuation of medication will be decided by the doctor who prescribed it.
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