My sgpt is moving around 95-110. bilrubin direct is 0.4 and ultrasound shows mild hepatomegaly. how can i bring down sgpt level within days as i have to clear medical for international travel? currently taking evion 600?

SGPT (ALT) is increased in acute liver condition and you also has mild hepatomegaly by US. You need to see a GI doctor or at least an internist for these abnormal findings. Evion is less likely the cause and it won't help your current condition. In a matter of days nothing could be done to normalize this number especially when it is associated with enlarged liver.

Unfortunately, all details should be accounted for as far as diagnosis and previous treatments for meaningful recommendations. Avoiding over the counter drugs and alcohol may help, but it appears unrealistic to be able to influence significantly chronically elevated liver enzymes in a mater of days.