<s>[INST] Hello, I had an Adenopathy in October with fever (39 max) for about 5 days, I did blood tests back then for CMV, EBV, Hepatitis A IgM & HBs, they were negative whereas results for SGOT, SGPT, Phosphatases alcalines & GGT were respectively 78, 101, 240 & 67. They were high. The doctor asked me to redo the liver tests this month and the levels are now even higher with no fever or any specific symptoms. The new levels are: SGOT: 145, SGPT: 241, Phosphatases alcalines: 222 & GGT: 62. My doctor asked me today to visit a gastroenterologist to diagnose the problem. I have an appointment next week but i'm terribly concerned now. What can really be the problem? Can it be hepatitis? HIV? An STD? I did my Pap test 2 month ago everything is normal.I take lots of ponstant forte during period. I've also been taking pills to lose weight (forte pharma minceur.It's worth mentioning that I had an unprotected sexual relation more than 2 years ago and I had hepatitis B and HIV tests twice, 5 month and one year and a half after the potential risk, but they were all negative. Please advise! [/INST] Hi,Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis ( HAV, HBV, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice:- abstinence from "Alcohol"- AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obeseIf HbsAg is positive also test for HBV DNA and HbeAg. HBsAg can not be completely eradicated in a patient suffering from HepB. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral LOad on a PCR.If HBV DNA count in PCR are not high, liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months. Hope to answer your concern. Any further questions are welcome. Wish you good health.Regards,Dr Tayyab Malik </s>