A 15 years old female having progressively rising jaundice her serum bilirubin direct 3, indirect 5. Enzymes level are not very high. She is on high glucose diet, Syrup (Sorbitol Solution, tricholine Citrate and Sunset Yellow FCF), Urodeoxycolic acid. Is there any role of Tab of Ademetionine 400 mg in this case?
What else we can give first? INV was done on 2/8/2015. S bilirubin was 2, now on 18 Aug her bilirubin is 8.5.