What can be done to lower ast (sgot) levels?

Don't treat labs: If the SGOT / SGPT are up, you need to find out why. If you're injuring your liver with alcohol, they're your wake-up call. If it's a medicine to which you're allergic, you must stop it. If you have chronic hepatitis, hemochromatosis, wilson's, or autoimmune hepatitis, this needs to be addressed. If they're up from extreme fitness, good for you. Metabolic syndrome is best rx'd by exercise.