Question #22006
79 days ago
280
Elevated SGPT/ALT - #22006
Alissar
I am 67 years old female. While I was doing a routine blood work to find out that my SGPT IS 97 and SGOT is 47. I also have anemia my hematocrit is 33 and hemoglobin is 11.1 What can I do in this case
Age: 67
Chronic illnesses: 3 C-sections
Feelings fatigued
300 INR (~3.51 USD)
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Doctors’ responses
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
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Tab Liv 52 -
Tab Punarnava mandoora-
1 tab twice daily after food with lukewarm water
Include dates dried grapes spinach pomegranate beetroot in your diet
Avoid oily spicy foods
Do regular walking
Once get us scan done
1827 answered questions
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Include beetroot, pomegranate, spinach, lauki, apple juice daily one of them in your routine
Use nachani / Ragi atta in your diet
Take Liv-52-Ds 1-0-1,
Punarnava Mandoor 1-0-0,
both after food with water.
Avipattikar tablet 1-0-1, after food with water
1239 answered questions
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Your liver parameters are not that much deranged to start any medication
Hemoglobin Also is within normal range. For this also medication not needed.
Diet management will be sufficient
Avoid oily spicy cold foods
Eat fruits
1650 answered questions
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Divya hemoghrit vital=1-1 tab
Divya livogrit vital=1-1 tab twice daily before meals twice daily
Take pomegranate/beetroot/spinach/gajar juice regularly
457 answered questions
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Alissar ji,,Your SGPT is moderately elevated, suggesting fatty liver, due to medication effect( do you face any other bodily or digestion compains???,,or it can be age-related liver stress.
Ayurvedic Liver medication -
1.Liv 52 DS (Himalaya) – 1 tab twice daily after meals
2.bhumi amla 1-0-1 available in capsules
3.Arogyavardhini Vati – 2-0-2tab
Diet Tips-Avoid fried foods, red meat, excess sugar.
Eat:
Beetroot, carrots, amla (Indian gooseberry), papaya, apples
Dates, jaggery, pomegranate, beetroot
Iron-rich leafy greens (spinach, moringa)
##Plenty of warm water
##Include a 30min to 1hr walk daily after meal.
628 answered questions
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Liv52 1BD
Arogyavardhini vati 1BD
Punarnavadi mandoor 1BD
Trigoldasav 15ml with lukewarm water
31 answered questions
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Start with
Liv 52 tab 1-0-1 after food
Punarnava Mandoora 1-0-1 after food
Patolakaturohini kwatham 20 ml twice a day before food
122 answered questions
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Avoid addiction if any.
Avoid spicy, oily and processed food.
Regular exercise.
Increase intake of raw vegetables and fruits.
Cap.Amlycure DS
1-0-1
1468 answered questions
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Take
Kalmegh kwath 20-30 ml empty stomach
Arogyavardhini vati 1-0-1
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Hii Alissar,
Its good to see that you monitoring your health often.
But here the values of sgpt and sgopt are only slightly high, may be i think it may an indication of some kind of issues on liver function either due to medications or diet and habits u follow regularly. U dnt need have much worry.
But you can take under control of this with some restrictions on diet and with mild medications.
To avoid
Fried food, excess oil, spicy food, alcohol (if any),refined sugar, packed foods,heavy foods
To do
Warm water with 2 to 3 drops of lemon in the morning (gentle detox).
Green leafy vegetables, bitter gourd, bottle gourd,
Homemade buttermilk with roasted cumin and rock salt after meals
Meds
Livokot 1BD before food
Arogyavardhini vati 1BD after food
For Hb, Hematocrit
Due to age factor it may be common for this kind of values.and also its not that much low may Due to lower absorption levels it may happens.
To do
Take Beetroot, dates, black sesame seeds, soaked raisins, and pomegranate, figs, ragi, millets items
Cook in iron utensils (like iron kadai) to enhance natural iron in food.
To Avoid
Tea/coffee near mealtime, as it blocks iron absorption.
Meds
Loha sinduram 1BD before food
Punarnava manduram 1BD after food
Draksharistam 20ml BD after food
I think you get a solution for ur concern
Thank you
Happy and healthy life
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Hello Alissar
NO NEED TO WORRY
• SGPT Moderately Elevated is Clinically Significant
• Rest All Parameters due to Age Medicine Fatty Liver Cholestrol sedentary lifestyle related Effects
• ALL IN ONE BEST EFFECTIVE AYURVEDIC MEDICINE
Cap.Cytozen ( Charak Pharma) 1 -0- 1 After Food
• DO'S - Drink Plenty of Water Fluids Fibers Juices intake.Prefer Alkaline Nutritious Leafy Vegetables Fruits salads sprouts Fibers etc.Mild Mobility Exercise walking Dhyan Meditation Increase Apple Pomegranate Ragi Beet Palak Carrot etc
• DON'TS - Avoid Acidic Spicy Salty Sour Masala Fried Fast Juck Foods
REGARDS
Dr Arun Desai
If you have any questions u can ask me.I will answer to the level of your satisfaction.
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It sounds like there's a few things going on here with your liver enzymes (SGPT and SGOT) being elevated, and also your anemia. In Ayurveda, liver health is often linked to Pitta dosha, and an imbalance might be present. The liver acts as a key Pitta organ and its imbalance can manifest in varied ways including increased SGPT/SGOT.
You can start by focusing on a Pitta-pacifying diet, as it helps in balancing the liver. Try to include more cooling and hydrating foods like cucumbers, watermelon, and leafy greens in your diet. Avoid excessive spicy, salty or oily foods which can aggravate the Pitta dosha. Drinking coconut water regularly can also have a cooling effect on the liver.
Anemia in Ayurveda is closely associated with low Agni or digestive fire, impacting the assimilation and transformation of nutrients. It's important to enhance Agni by consuming easily digestible, nourishing meals. Consider incorporating iron-rich Ayurvedic herbs like Triphala - it not only helps with constipation which can accompany anemia, but also enhances iron absorption.
For your liver, an herb like Guduchi (Tinospora cordifolia) is beneficial due to its hepatoprotective properties, you might consult with an Ayurvedic practitioner to get the right dosage.
Apart from diet, practice yoga postures like Matsyasana (Fish pose) and Supta Baddha Konasana (Reclining Bound Angle pose) which are supportive of liver and digestive health, without overdoing it. Ensure you're keeping a regular sleep schedule too, as this is crucial for liver restoration.
However, considering your age and the possible seriousness of these laboratory findings, it's absolutely necessary to work with your primary healthcare provider alongside these Ayurvedic recommendations—it ensures that any underlying health condition receive appropriate attention. Safe to say, combining conventional care with these natural approaches could be beneficial for a well-rounded treatment.
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