HomeAnswersGeneral Medicinevitamin d deficiencyWhy do I have deranged levels of SGOT, SGPT, homocysteine, and vitamin D?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Prathap

Medically reviewed by

iCliniq medical review team

Published At December 19, 2016
Reviewed AtAugust 17, 2023

Patient's Query

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?

Answered by Dr. Prathap

Hi,

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prathap
Dr. Prathap

Internal Medicine

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