Conversation: The conversation between human and AI assistant.
[|Human|] Sir, Since last one year I am suffering from fatty liver problem. My  total bilrubin was 1.3 and direct bilrubin was 0.5 and ALT was 63.  I have under gone treatment and I have taken Udiliv 300 twice and vitamin e (NE) twice. After one month in blood report Total bilrubin found   was 1.03 Direct bilrubin was 0.5 ALT-36. However I was continuing the same medicine for another two months. At present my recent blood report says Total bilrubin is 2.2 where,   direct bilrubin is 0.49, AST-25, ALT-19. I am 21 year old I have reduced my weight from 70 kg to 65 kg in last three months. My Physician suspects that the cause of higher bilrubin is Hemolytic Anemia  and prescribedt same medicine with Iron supplement for another three months and ask for blood test for Hemolytic Anemia. Please advise. My height is 172.2 c.m  XXXXXXkolkata
[|AI|]  Hi, Thanks for writing in. Udiliv is not the medication of choice for fatty liver. The best combination would be sorbitol, trampoline citrate and orbiting for a period of 6 months. This will help reduce or normalize the liver function tests. To rule out a hemolytic anemia you need to undergo proper clinical examination and hematological work up including peripheral smear and bone marrow studies. Regards