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[|Human|] hi my brother have viral hep A in sep2012, on starting his billirubin was 3.9 &sgpt was 2800,after 2weeks his billirubin raised upto 19 then his sgpt was only 284,on 39th day of hep billirubin was 3.4& sgpt is 112 but a week before sgpt is 110,why the sgpt is not coming down
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. His SGPT level is very high initially with Hugh bilirubin level due to hepatitis A. Now his SGPT level is decreasing.  It is slightly high but its decreasing, so it will come back to normal within few days.  Don't worry much about that.  Avoid fatty food and alcohol.  Take high protein diet.  Chat Doctor.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.