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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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