Conversation: The conversation between human and AI assistant.
[|Human|] I am 36 years old men. Since 2002, I am suffering from Fatty liver probelm. In 2007, I underwent the GI Endoscopy and diagonised the H Pylori infection. I have taken the necessary medication for the same. Since last two year I am also suffering form High BP, High Cholestrol and now this week also diagonised with starting Diabetic Glycosylated Hemoglobin 7.3 Glucose 113 mg/dl Total Cholesterol 312 Triglycerides 244 HDL 45 LDL 204 VLDL 63 HDLC Ratio 6.9 SGOT 33 SGPT 61 Blood Urea 26 Serum Creatinine 1.00 Vitamin B12 241 My current ultra sound report shows normal report but with Focal hypoechoic area of size 20X14X17 mm is seen in left lobe of liver. Liver is normal in size (13.4cm) amd shows increaed echogenicity. I am suffering Hypertension, body fatigue, and body pain. No freshness in body.
[|AI|]  Hello, Your reports suggest dyslipidemia with pre-diabetes (if sugar level of 113 is fasting value) and low levels of IT B12. Body fatigue could be because of this problem or may be associated hypothyroidism (get your thyroid also evaluated) . You should start taking medications and do the following... Calorie reduction and reduction of weight.(be in your range of BMI) Regular exercisesAvoiding sweets,deep-fried fatty foods, transfats, junk foods like pizzas and burgers and avoid colas. Consume more of fresh fruits and green vegetables. Get few injections of IT B 12 as advised by your doctor. Your cholesterol, high liver enzymes and fatty liver shall be all right in 4 to 6 months time. Quit smoking, if any. Target of your LDL should be below 80 Target of your triglycerides should be below 150 BP should be below 120/80. Keep your fasting blood sugar below 90 Thanks