Conversation: The conversation between human and AI assistant.
[|Human|] i am on Crestor 10 mg ..daily and i just received my liver function test where by theSerum Billirubin 39 Umol/L...Serum alkaline phosephatase 116 U/l..i do went heart surgery operation in year 1994..four by pass were needed..i do also take metfomine 1 twice daily and also aspirin 75mg daily.how can i decrease the bilirubin ..
[|AI|]  Hi and welcome to Chat Doctor. It may indicate certain liver damage caused mostly by fatty liver or viral hepatitis so rule out these 2 first. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health. Regards