Inclusion Criteria:

• Patients admitted to the fever hospital and presenting with symptoms and signs that may be consistent with a diagnosis of acute hepatitis.
• Recent (<1 month) history of illness.
• Elevation of ALT > 2.5 normal.
• At least 13 years old.

Exclusion Criteria:

• History suggestive of severe drug-induced acute hepatitis.
• Children 12 years and younger.
• Pregnant or breastfeeding women
• Suspected hypersensitivity to Silymarin or vitamin preparations.
• Evidence of advanced liver disease e.g. history or presence of ascitis, bleeding esophageal varices, and hepatic encephalopathy.
• Patients who are critically ill, with multisystem failure or cancer.
• Substance abuse such as IV drugs.
• Any other conditions, which in the opinion of the investigator would make the patient unsuitable for enrollment or could interfere with the patient's participation in and completion of the protocol.