An SGPT level of 58 is only minimally elevated and generally considered safe. It is quite common for medications like Ornicef (cefixime) or Nexpro 40 (esomeprazole) to cause mild, temporary fluctuations in your liver enzymes as your body processes them. Additionally, your frequent indigestion and underlying gut health can also play a role. This slight elevation is typically temporary and should return to normal once you complete your course of medication. I recommend staying hydrated and discussing these results with your prescribing doctor for a simple follow-up, but there is absolutely no need to panic.