The normal range for alanine transaminase (ALT) varies from laboratory to laboratory. One common reference range for an ALT blood test is 7 to 56 U/L (units per liter).
An ALT test result of >100 IU/l is a clear indicator of serious liver disease, but a mildly elevated ALT result (30–100 IU/l) is often ascribed to the use of medication (for example statins) or alcohol, obesity, or, for lower ALT levels (<50 IU/l), considered as part of the normal distribution of test results.
ALT levels are normally less than 40 international units per liter (IU/L). Levels above 1,000 IU/L may be a sign of: Acute viral hepatitis. Lack of blood flow to the liver.
Usually, the upper limit of ALT is 35 - 40 U/L. Moderate increase in ALT (such as 70 U/L) is seen in chronic hepatitis, chronic obstruction of bile ducts, heart damage, alcohol abuse, liver tumor, skeletal muscle damage. In any acute liver conditions, ALT is much more elevated.
If they are constantly in the 50 to 200 range we term the hepatitis B infection active. ALT's range from 0 up to 3000 or so in many acute hepatitis cases. They change with every meal so it is important not to panic if they go from 20 to 45 after a few months. All scores below 45 indicate a perfectly healthy score.
Normal levels of AST and ALT may slightly vary depending on the individual laboratory's reference values. Typically the range for normal AST is reported between 10 to 40 units per liter and ALT between 7 to 56 units per liter. Mild elevations are generally considered to be 2-3 times higher than the normal range.
Four stages of liver failure define the progression of the disease: Stage 1: Inflammation. Patients may not have any symptoms at this stage, but some people may have tenderness on the right side of their abdomen. Elevated liver enzymes can be a sign of liver inflammation.
What is the normal range for ALT? Different labs use different ranges, but the typical range is about 7 to 56 units per liter (U/L) of blood. What level of ALT is concerning? Anything above or below the normal range may lead your doctor to order additional tests.
If your results show you have a high level of ALT, it doesn't always mean that you have a medical condition that needs treatment. Many things can affect your results, such as your age, sex, weight, and certain medicines and dietary supplements.
For all participants combined, ALT was highest in the youngest (30–62) age group, with a mean ± SD ALT of 23±15 IU/L for that group. Subsequently, ALT decreased with increasing age, from 21±14 IU/L for those aged 63–71 years, to 20±21 IU/L for those aged 72–77 years, and 17±10 IU/L for those aged 78–93 years.
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