High SGOT and SGPT levels indicate liver inflammation or injury, but the treatment depends on the underlying cause such as fatty liver, alcohol use, viral hepatitis, medications, obesity, or infection. Medicines should not be started based only on elevated enzymes without knowing the exact values and cause. For fatty liver?related elevation, doctors commonly advise lifestyle changes along with supportive medicines like Liv.52 DS, vitamin E (in selected patients), or other liver-support treatment depending on your condition. Avoid alcohol, oily food, unnecessary supplements, gym steroids, and self-medication. Please share your exact SGOT/SGPT values, bilirubin, ultrasound report, and any symptoms for more specific guidance. Seek medical attention urgently if you have jaundice, vomiting, severe abdominal pain, swelling, or confusion.