Hello dear I understand your concern According to NABL standardized laboratory, Normal reference range of SGPT is 29-72 IU/L. Increase values of the SGPT by 5-10 fold have clinically significant along with increase in bilirubin level. So your SGPT level is completely normal and not a cause of concern. Your loss of appetite is due to erosion in the gastric antrum,suggests gastritis. I would suggest to go for urea breath test, stool antigen and antibody in blood for H.pylori infection. If H.pylori will positive then take omeprazole + clarithromycin + amoxicillin. For gastritis take following advises: Syrup mucaine on empty stomach If not responds then omeprazole will helpful Take Cytoprotective agents like sucralfate and bismuth subsalicylate Capsule lactobacillus Take diet like banana, boiled rice, applesauce, yogurt, buttermilk and toast Avoid spicy food, stress, smoking and alcohol Do regular exercise like walking and medication Hope this may help you Contact HCM for further health query Best regards Dr. Sagar