Q. How to manage abnormal levels of SGOT, SGPT, homocysteine and vitamin D?

Answered by
Dr. Prathap
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 19, 2016 and last reviewed on: Jan 28, 2021

Hi doctor,

I had a recent complete blood checkup. In the report, the levels of SGOT, SGPT, homocysteine and vitamin D levels are abnormal. I have attached the report. The values of SGPT and SGOT are on the higher side, whereas the values of homocysteine, HDL and vitamin D are below normal. Please review the report and help in understanding. How to manage this situation?



Welcome to icliniq.com.

Your reports are almost normal (attachment removed to protect patient identity). There is no need to worry.

  • Coming to the rise in SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase), the value is significant only when there is more than fourfold elevation. This rise may be because of alcohol intake or drugs you are using.
  • Your HDL (high-density lipoprotein) is on the lower side. Good eating habits, avoidance of alcohol and smoking and regular physical activity will improve it.
  • Regarding homocysteine, there is no need to worry. It may be a transient rise and do not think much of it.
  • Vitamin D is insufficient. I suggest you CAL D3 tablet (combination of Calcium citrate, vitamin D3, Magnesium hydroxide and Zinc tablets) once a day for three months.

Treatment plan:

I advise the following medicines. Consult your doctor, discuss with him or her and take the medicines with consent.
1. Tablet CAL D3 once a day after food in the morning for three months.
2. Capsule Homocheck (combination of Folic acid, Methylcobalamin and Pyridoxine) daily in the night for a month.
3. Tablet Pantop 40 mg (Pantoprazole) daily in the morning 30 minutes before food, if you have any gastric upset.

Regarding follow up:

For further doubts consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician

Was this answer helpful?


Related Questions:
I have deranged triglycerides and HDL. Why?

Hi doctor, My cholesterol is 170, triglycerides are 293, HDL 24 and LDL 107, non-HDL cholesterol 143 ...   Read full

What should I do to reduce high vitamin B12 level?

Hello doctor, I have been taking Vitamin B medication for over one year and my Vitamin B12 level is very high, greater than 2000 ... Vitamin B12 is a water-soluble ...   Read full

What does high homocysteine level indicate?

.. gone through your medical history carefully and the lab results you sent in (attachment removed to protect patient identity). High homocysteine levels are indicating that your diet is high in animal meat. This explains high triglycerides and high...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask a General Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.