Elevated SGPT/ALT - #22006

Thank you for reaching out and sharing your health concerns. At 67, it’s wonderful that you’re proactively monitoring your health. From your reports, I understand that: • SGPT (ALT) is at 97 and SGOT (AST) is at 47 – indicating mild to moderate liver stress or inflammation. Hemoglobin is 11.1 g/dL, and hematocrit is 33%, which points toward mild anemia. Let me first reassure you: both of these issues can be managed naturally, especially when we support the body gently and holistically, as we do in Ayurveda. In Ayurveda, the liver (Yakrit) is the seat of Ranjaka Pitta, the sub-dosha responsible for blood formation and transformation. When Pitta becomes aggravated—due to improper diet, chemical exposure (like medications), or emotional stress—it affects both the liver’s ability to detoxify and its role in blood building, which could explain both your elevated liver enzymes and anemia. Also, low Agni (digestive fire) and Dhatukshaya (tissue depletion) are common in older age, leading to weakened Rasadhatu and Raktadhatu, which are responsible for nutrient absorption and healthy blood We will aim to: 1. Strengthen and soothe the liver 2. Rebuild healthy blood (Rakta dhatu) 3. Support digestion and nutrient absorption • Bhumi Amla (Phyllanthus niruri): Excellent for reducing SGPT/SGOT and healing liver tissues. • Take 1 tsp juice or 500 mg capsule twice daily after meals. • Guduchi (Tinospora cordifolia): A rejuvenative herb that detoxifies liver and boosts immunity. • Use 1 tsp Guduchi churna or 500 mg capsule daily. • Kalmegh (Andrographis paniculata): A potent liver cleanser—can be taken as tablet or decoction under guidance. • Arogyavardhini Vati: A classical Ayurvedic formulation for liver health. Take 1 tablet twice daily after food, under supervision. • Avoid oily, fried, heavy, spicy foods. • Favor light, warm, easily digestible foods like: • Mung dal khichdi • Steamed vegetables • Warm cumin-coriander-fennel water • Include bitter and liver-cleansing foods: • Lauki (bottle gourd), neem, methi leaves, turmeric • Use cow ghee in small amounts – it nourishes and cools the liver. • Sleep early (by 10 PM), as liver rejuvenates at night. • Do gentle walking after meals to support metabolism. • Practice gentle Pranayama: especially Sheetali and Nadi Shodhana. • Draksha (black raisins): Soak 10–15 overnight and eat in the morning. • Beetroot juice with a pinch of rock salt – strengthens blood and improves iron. • Pomegranate (Anar) – daily consumption is beneficial for both blood and liver. • Amla juice – take 10 ml daily with water to boost iron absorption • Punarnava Mandur – for anemia, edema, and liver support • Lauh Bhasma or Navayasa Lauh – classical iron preparations; to be used carefully under supervision • Dhatri Lauh – gentle and nourishing iron tonic Note: Always combine iron-rich foods with vitamin C (like lemon, amla) to improve absorption. Poor digestion in elderly age can be a hidden cause of anemia even if you eat well. • Take Hingvastak churna or Trikatu churna before meals (¼ tsp with warm water). • Sip jeera-coriander-fennel water throughout the day. • Avoid cold, dry, and raw foods that may suppress Agni. If you can visit a good Ayurvedic center, therapies like Basti (medicated enema), Abhyanga (oil massage), and Pizhichil or Takradhara (for Pitta calming) can rejuvenate the liver, strengthen immunity, and improve overall health At 67, your body is wise, but it needs gentle care now. These imbalances are your body’s way of asking for better alignment. With the healing power of Ayurveda, supported by the right food, herbs, and lifestyle, your liver can recover and your blood can be nourished again. Please be patient, loving, and consistent with these practices. I also recommend periodic monitoring of your blood levels to watch your healing progress. If you’d like, I’d be happy to create a customized daily routine and meal plan for you based on your Prakriti (body constitution) and other symptoms. Wishing you vibrant health, peaceful energy, and many more joyful years ahead. With warm regards and healing blessings, Dr. M. Sushma Ayurvedic Doctor | Holistic Wellness Expert