<s>[INST] Hello, I am a chronic patient of liver issue.Had a streak of jaundice for 4 yrs till 2004.Then the bilirubin level was under control.But from 8-10 months again the bilirubin level is raised and the SGOT & SGPT level also is raised pretty much.For your reference the total bilirubin is 3.2 ,SGOT is 236 and SGPT is 286. Can you please tell me what might be the reason. Thanks [/INST] Hello, Welcome on HCM. You must get Liver Function Test done and a thorough general examination so establish the cause of this much rise. You must come with more details of body symptoms to come to any conclusion for what to do according to symptoms and what you are suffering from. Good luck Thanks. </s>