High SGPT (serum glutamic pyruvic transaminase) levels may indicate liver health issues, with potential causes including liver diseases, medications, viral infections, obesity, and autoimmune conditions. Symptoms associated with elevated SGPT levels can include fatigue, jaundice, abdominal pain, and dark urine, although they may vary depending on the underlying cause. Consultation with a healthcare professional is advised for diagnosis, treatment, and management to prevent further liver damage.