Liver panel · ALT

What does ALT mean on your blood test?

ALT is an enzyme found mostly in your liver. When liver cells are injured, ALT leaks into the blood, so the test is used as a marker of liver health. Here is how to read your ALT result, in plain language.

Typical range
7–55
U/L

What ALT is

ALT stands for alanine aminotransferase, an enzyme concentrated in liver cells. It helps the liver do its everyday chemistry. When liver cells are damaged or inflamed, some ALT escapes into the bloodstream, so a higher blood level can be a signal that the liver is under stress.

How to read your ALT result

ALT is reported in units per litre (U/L). Normal ranges differ noticeably between laboratories, so always read your result against the reference range printed on your own report. A commonly cited range is around 7 to 55 U/L, but your lab may use different cut-offs. Mild elevations are common and are not automatically a sign of serious disease.

What a high ALT can mean

A raised ALT points to liver-cell irritation, which has many possible causes, including fatty liver, certain medicines, alcohol, and viral infections. ALT is usually read together with AST and other liver tests to see the pattern. Because a single number rarely tells the whole story, your clinician often repeats the panel and looks at the trend.

What usually happens next

See your own ALT explained

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Common questions

Is a slightly high ALT dangerous?
A mildly elevated ALT is common and is often not a sign of serious disease, but it should be interpreted by a clinician rather than ignored. What matters is how high it is, whether it stays up over time, and what the rest of your liver panel shows.
What is a normal ALT level?
Normal ALT ranges vary between laboratories, which is why you should compare your result to the range on your own report. A frequently cited range is around 7 to 55 U/L. Age, sex, and the specific test method can all shift the reference values.
What is the difference between ALT and AST?
Both are liver enzymes that rise when liver cells are injured, but AST is also found in muscle and other tissues, so it is less specific to the liver than ALT. Clinicians look at the two together, and the ratio between them, to help narrow down a cause.

Sources

  1. MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); ALT Blood Test; [updated 2024 Nov 5; cited 2026 Jul 9]. Available from: https://medlineplus.gov/lab-tests/alt-blood-test/
  2. MedlinePlus Medical Encyclopedia [Internet]. Bethesda (MD): National Library of Medicine (US); ALT blood test; [cited 2026 Jul 14]. Available from: https://medlineplus.gov/ency/article/003473.htm
  3. MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US); Liver Function Tests; [cited 2026 Jul 9]. Available from: https://medlineplus.gov/lab-tests/liver-function-tests/

Content last reviewed 9 July 2026. Reference ranges vary by laboratory; always read your results against the range printed on your own report.

This page explains a common lab marker in general terms using public information from the U.S. National Library of Medicine and other NIH sources. It is educational and is not a diagnosis or medical advice. Reference ranges differ between laboratories and the meaning of a result depends on your age, sex, medications, and overall health. Always discuss your own results with the clinician who ordered them.