I HAVE Liver issue HIGH SGOT SGPT RATIO and high serrum albumin protein in blood - #25356

Hi Rashmi as per your blood report your body needs detoxification especially focusing on Liver .

For that along with medication and treatments you need to improve your lifestyle also

*Internally 1.Guluchyadi kwatham tab 2-0-2 before food 2.Livokot tab 2-0-2 after food 3.Thriphala tab 2-0-2 after food

*Weekly once Virechana(Purgation) with Avipathy churnam (1packet/10gm) with ½glass hot water in empty stomach followed by light diet only - this is to cleanse your body and to balance your PITA dosa

*You can also do Kashaya vasthi(medicated enema) from nearby Ayurvedic treatment center/14days once

*Do’s 3-4litres of water /days More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

Get a panchakarma done, by near by panchakarma specialist… that is body detoxification, with diet modification.You shall get results with all your complains.

Hello, To give more approlriate suggestion answers to the following will help a lot: 1. What is your age? 2. What was the reasons for doing these tests/what are the symptoms? 3. If you have liver problem since how long you are facing the issue? 4. How is your appetite?; bowel movements?

Take care. Kind Regards.

Do not worry If you haven’t taken us once get it done Meanwhile you can start on Tab liv 52 DS- Arogyavardini vati - 1 tab twice daily after food with lukewarm water Avoid oily fatty fried and high protein diet

hi Rashmi Ranjan, 1.High SGOT/SGPT ratio (2.0) → means liver cells are irritated or inflamed. Normally SGPT (ALT) should be more than SGOT (AST), but here SGOT is disproportionately high — this can happen in fatty liver, poor protein metabolism, or chronic inflammation. 2.High serum albumin/protein → This means your liver is trying to push more proteins into the blood — either due to internal inflammation or as a compensatory action. It may feel like your body is “full” but not nourished — leading to water retention, bloating, heaviness. 3.Low serum urea + blood urea nitrogen (BUN) → This shows your protein breakdown and nitrogen cycle is weak, which also points toward a sluggish or under-functioning liver. So yes — your doctor is right. All these issues are linked to liver dysfunction (most likely related to your Grade 2 fatty liver + metabolic overload).

1. Ayurvedic Medicines to Start Now

(Take for 3 months minimum, under supervision if possible)

1.Arogyavardhini Vati – 2 tablets after meals, twice a day Main liver detoxifier, reduces liver enzymes, clears fat 2.Punarnavadi Kashayam – 15 ml with equal warm water, twice a day before food Reduces swelling, water retention, improves liver & kidney function 3.Bhringarajasava – 15 ml with water, twice daily after meals Liver strengthener and rejuvenator 4.Triphala Churna – 1 tsp at bedtime with warm water Daily gut cleansing, improves digestion & reduces Ama (toxins) 5.Guduchi Satva – 250 mg twice a day with warm water Powerful anti-inflammatory, balances immune system + liver enzymes

ADVICES: Absolutely no fried food, sugar, bakery, maida, curd, or red meat Eat only freshly cooked warm food – no leftovers Daily drink: boiled water with coriander seeds + cumin seeds Add beetroot, carrots, bottle gourd (lauki) to your meals Drink warm lemon water on empty stomach (avoid if acidity) Avoid late night eating. Finish dinner by 7:30–8 pm max

Optional Tests to Repeat Every 2 Months LFT (SGOT, SGPT, Bilirubin, Albumin, Globulin) Lipid profile USG abdomen Blood sugar, insulin Vitamin D & B12 THANK YOU REGARDS - DR.KARTHIKA

Hello Rashmi Ranjan Thank you for sharing ypur concern. Based on your values, your doctor is right these are signs of ongoing liver dysfunction. But don’t worry we are here to help ypu out. 😊 Ayurveda has powerful, safe and effective herbs that can reverse liver damage and normalize these values when taken consistently.

YOUR REPORTS

👉SGOT/SGPT Ratio is 2.0 high suggesting of fibrotic changes 👉Serum Albumin is High Usually a sign of dehydratio or any type of strain on liver 👉Serum Urea 10 this suggest that liver not converting ammonia to urea very well 👉Blood Urea Nitrogen (BUN low means ) Suggests reduced liver protein metabolism

✅INTERNAL MEDICATION

1 Arogyavardhini Vati 2-0-2 after food ( acts as liver detpx helps. To reduce sgot and sgpt) 2 Bhringrajasava 15 ml-0-15ml ( helps. In Liver repair) 3 Liv up 1-0-1 after food ( acts as a liver tonic) 4 Bhumi Amla capsule or churna 500 mg twice daily ( its a Hepatoprotective herb for fatty liver)

✅ Liver-Friendly Diet modification.

✅ Eat:

Moong dal, lauki, red rice, barley Cooked vegetables, especially bottle gourd, beetroot, spinach Amla, black raisins, apple, lemon Jeera–ajwain water (sip all day)

❌ Avoid:

Fried/oily/spicy food Tea/coffee excess, soft drinks Non-veg, especially red meat or egg yolk Refined sugar, bakery items Alcohol (strict no)

✅ Daily Detox Water ❗must for you❗

Boil in 1L water: 1 tsp jeera 1 tsp dhaniya (coriander seeds) 5–6 fresh tulsi leaves ☑️ Sip all day supports liver, kidney, and protein balance.

✅Liifestyle Modification

Eat dinner before 8 PM Avoid daytime sleeping Walk 30–45 minutes per day Practice deep breathing (Anulom Vilom) for 10 min

Your case can be reversed with aproper care and consistent treatment. no need to panic. Liver has a powerful ability to regenerate, but only if can clutter down the toxins and helping the liver to regenerate

Wishing you a complete and confident recovery😊

If any doubt be free to message us

Warm Regards Dr Snehal Vidhate

HELLO RASHMI,

YOUR CONDITION

SGOT- high= liver cell damage SGPT(ALT)- high= liver inflammation SGOT/SGPT ratio- 2.0= indicates deeper hepatic damage or alcohol-related damage SERUM ALBUMIN- high= rare in liver disease- possibly dehydration or imbalance SERUM UREA- 10mg/dL= low- suggests reduced protein metabolism in liver BUM(blood urea nitrogen)- 5.0 mg/dL= low- points to impaired hepatic urea cycle

LIKELY PATHOPHYSIOLOGY 1) HEPATOCELLULAR INJURY-> elevation of SGOT, SGPT 2) SGOT/SGPT > 2.0 -> possible alcohol-induced liver injury or cirrhotic changes 3) LOW UREA/BUM -> liver cannot convert ammonia to urea properly -> may cause subtle symptoms like fatigue, confusion 4) ALBUMIN PARADOX -> may be high due to dehydration, not liver efficiency

POSSIBLE CONDIITIONS -alcoholic liver disease -non alcoholic steatohepatitis -early liver fibrosis/cirrhosis -chronic hepatitis(viral/toxic)

In Ayurveda, liver disorders are yakrit Roga, governed by pitta dosha, especially Ranjhak pitta, located in over and responsible for -digestion of emotions and food -blood quality-raktu dhatu -metabolism

Disorders happens due to -excessive spicy, sour, oily foods -alcohol -emotional suppresion -toxin accumulation

YOUR CONDTION SUGGESTS -piitaja yakrit vikara-> liver inflammation -ama-pitta involvement-> indigestion+ toxins -rakta dushti-> blood vitiation as seen by liver enzyme disruptions

INTERNAL MEDICATIONS

1) HIMALAYA LIV 52 DS = 1 tab twice daily after meals for 2-3 months =hepatoprotective, improves liver enzymes

2) CHARAK LIVOMYN= 1 tab twice daily after meals for 2-3 months = detoxifies liver, boosts bile flow

3) AVP HEPOSEM TABLET= 1 tab twice daily after meals for 2-3 months =useful in chronic liver issues

4) DABUR ABHAYARISHTA= 15ml with equal water after meals for 2 months =helps with constipation, supports liver detox

5) PATANJALI YAKRIT SODHAK VATI= 1 tab twice daily after meals for 2 months =liver detoxification

6) BAIDYANATH AROGYAVARDHINI VATI= 1 tab after meals twice daily for 2 months =reduces SGPT/SGOT

7) ZANDU PANCHARISHTA= 2 tsp with equal water after meals for 2 months =digestive tonic, improves fire

DIET RECOMMENDATIONS

GRAINS= old rice, barley, wheat, oats(light), broken rice

PULSES= green gram, split lentils

VEGETABLES= bottle gourd, ridge gourd, bitter gourd, pumpkin, ash gourd, drumstick

FRUITS= amla, pomegranate, apple, pear, papaya, figs

SPICES= turmeric, coriander, fennel ,cumin

LIQUIDS= warm water, cumin-coriander-fennel tea, amla juice, buttermilk

FATS= cows ghee, flaxseed oil(omega 3)

AVOID STRICTLY

OILY/SPICY= deep fried foods, pickles, fast food

HEAVY PULSES= rajma, chana, toor dal, urad dal

MEAT AND EGGS= especially red meat, organ meats

COLD ITEMS= ice cream, cold drinks, raw salads, at night

SOUR= vinegar, curd, tamrind, excess lemon

SUBSTANCES= alcohol, smoking, painkillers, processed food

YOGA ASANA -bhujangasana = improves liver circulation - ardha matsyendrasana= detoxifies liver and kidneys -dhanurasana= strengthens abdominal organs -pawanmuktasana= reduces bloating, improves digestion

PRANAYAM -nadi sodhana= cleanses nadis and balances liver energy -sheetali pranayam= cools the system -bhramari pranayam= calms stress do each for 5-7 min daily twice

LIFESTYLE -sip warm water throughout the day -maintain regular bowel movement -sleep early, avoid stress -DAILY WALK= 30-45 min after meals brisk walking

REPEAT -liver function test -cbc -ultrasound abdomen

every 1-2 months

AVOID -skipping meals -working late nights -alcohol, unnecessary supplements

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

FEEL FREE TO REACH OUT IN CASE OF ANY DOUBTS

THANK YOU

DR. MAITRI ACHARYA

As per your condition you need to visit physically at nearby ayurveda center

Take tablet Liv-52 -DS 1-0-1 after food with water Phaltrikadi kashaya 10ml twice daily after food with water Avipattikar tablet 1-0-1 after food with water Avoid oily fatty processed junk foods

You can complete cure with this medication

Divya SARWAKALP KWATH=100gm DIVYA KAYAKALP KWATH=100GM… MIX BOTH TAKE 1 TSP BOIL 200ML OF WATER TILL REDUCES 100ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY

DIVYA LIVOGRIT VITAL TAB=2-2 TAB BEFORE MEAL TWICE DAILY

DIVYA LIV AMRIT ADVANCE=2-2 TAB AFTER MEAL TWICE DAILY

TAKE IT 2 MONTHS ITS CURED COMPLETELY…THEN DO LFT …ALL ENZYMES ARE SETTLED

PLZ AVOID MAIDA/JUNK FOOD/SPICY FOOD

DO KAPALBHATI PRANAYAMA REGULARLY

Elevated SGOT and SGPT levels indicate an imbalance that may be related to Pitta dosha, which is often associated with liver issues. When these enzymes are high, it suggests that the liver is under stress, which can also affect the serum albumin and urea levels you’re experiencing.

Firstly, focus on cooling down the Pitta by making dietary changes. Incorporate bitter and astringent foods, such as leafy greens, bitter gourd, and turmeric. Avoid excessively spicy, oily, or acidic foods as they can aggravate Pitta. Opt for light, easily digestible meals and prioritize vegetarian meals, which are known to be more Pitta-pacifying.

Another important aspect is hydration. Ensure that you are drinking plenty of warm water throughout the day. Herbal teas like chamomile or mint can also help soothe the liver. Triphala, a classical ayurvedic formulation, might help gently cleanse the liver and balance the doshas. Begin with half a teaspoon of Triphala powder at night, mixed with warm water, but it’s always best to consult an ayurvedic practitioner before starting any new supplement.

Regular practice of yoga and pranayama can aid in harmonizing the body’s energy. Gentle poses such as cat-cow, seated forward bends, or twists can be particularly beneficial for liver health. Pranayama techniques like Bhramari or Shitali can help reduce internal heat.

Lifestyle modifications are just as crucial - regular sleep patterns, reducing stress and routine health monitoring. Try to sleep by 10 PM daily, as this aligns with the natural winding down of the body’s systems in relation to circadian rhythms, supporting liver detoxification processes.

If any symptoms worsen or if there’s no improvement, keep in touch with your healthcare provider to rule out any conditions that may require immediate attention. Be cautious with herbal remedies and ensure that they don’t interfere with any medications you may be on.

For a more in-depth and personalized approach, continue consultation with your provider, as they have complete picture of your health; continued monitoring is important in these cases.

HELLO RASHMI,

YOU MENTIONED -SGOT/SGPT ratio- 2.0-> likely alcohol-related or hepatocellular injury -HIGH SERUM ALBUMIN-> rare, may indicate dehydration or early - stage liver compensation -LOW SERUM UREA AND BUN-> liver unable to convert ammonia to urea properly

These signs align with pittaja yakrit vikara(pitta-aggravated liver disorder) in Ayurveda.

DISEASE TYPE -Dosha involved= pitta>rakta>agni dushti (impaired metabolism ) -Dushya= rasa, rakta, mamsa, yakrit(blood and liver) - Digestive fire= tikshna-> leading to rapid tissue breakdown, inflammation -Ama(toxins)= present if digestion is weak or food is undigested -Srotorodha(blocked channels)= impaired bile flow or liver detox function

Yakrit roga= general liver disorders Kamala= jaundice Halimaka= chronic liver problems Pittaja udara= liver iduced bloating/ enlargement Yakrit vriddhi= hepatomegaly Rakta-pitta dushti= abnormal blood chemistry

DIET PLAN

MORNING= warm water + 1 tsp amla juice= liver cleanser, rich in antioxidant

8-9AM= steamed moong dal khichdi with ghee =easy to digest, protein source

11AM= coconut water/buttermilk(diluted) =coolant, pacifies pitta

1 PM= chapati(no oil), lauki sabzi, turmeric buttermilk =no spices, bitter/oungent taste

4 PM= apple or pomegranate = light fruits with cooling properties

7 PM= steamed vegetables+ soup + rice = avoid curd and raw salads

9 PM= triphala powder 1 tsp with warm water =mild detox, aids digestion

AVOID COMPLETELY -deep fried , spicy, sour, fermented foods - mustard, garlic, green chilli, vinegar - alcohol, tobacco, cold drinks - excess curd, cheese, cream -stress eating, late-night meals - reheated/stale food

INTERNAL MEDICATIONS

1) AROGYAVARDHINI VATI= 1 Tab twice daily with warm water after food =liver tonic, reduces SGOT/SGPT

2) BHUMI AMLA JUICE= 15 ml twice on empty stomach = regenerates liver cell, antiviral

3) KUTKI CHURNA= 500 mg with honey, twice daily =anti inflammatory, bile cleanser

4) KALMEGHA CAPSULES= 1 cap twice daily with warm water =bitter detoxifier, pitta balancer

5) GUDUCHI SATVA= 500 mh twice daily with honey = rasayana, immune-modulator

6) TRIPHALA CHURNA= 1 tsp at bedtime with warm water = cleanses colon, aids detox

7) YAKRIT PLIHANTAK CHURNA= 1 tsp twice daily with warm water =classical formula for liver support

START WITH 21 DAYS AND THEN GO FOR TEST TO SEE IMPROVEMENT

YOGA AND LIFESTYLE FOR LIVER HEALING

DAILY ROUTINE -wake up before sunrise - drink lukewarm water with lemon to flush toxins - eat at fixed times, never skip meals -no eating after 8 pm - midday rest, but avoid day-sleeping if digestion is weak

RECOMMENDED YOGA ASANA -ardha matsyendrasana= stimulates liver and spleen - bhujangasana= improves liver function - dhanurasana stimulates liver and kidney - pawanmuktasana= reduces abdominal gas, eases liver congestion

PRANAYAM -Anulom-vilom= balances energy channels -Sheetali/ Sheetakari= cools the system -Bhramari= relieves stress and inflammation practice= 10-15 mins/day on an empty stomach

Check every 4 weeks -LFT= SGOT/SGPT, albumin, bilirubin -Urea, BUN, Creatinine -ultrasound abdomen= to detect fatty liver or hepatomegally

THANK YOU

DR. HEMANSHU MEHTA