31st July 2023

An 18-year-old female presents with a slight yellowing of the skin

An 18-year-old female presents with a slight yellowing of the skin. She is currently revising for her A Levels, and she has felt run down with poor sleep. She admits to not eating frequently during this period of stress. There are no other symptoms, and clinical examination is unremarkable, aside from subtle icterus.

Bloods results show:
Alanine transferase (ALT) 33 iu/L (3-40)
Aspartate transferase (AST) 23 iu/L (3-30)
Alkaline phosphatase (ALP) 88 μmol/L (30-100)
Bilirubin 45 μmol/L (3-17)

What is the management for the most likely condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.