ALT is the most liver-specific enzyme on a standard blood test. A mildly raised result is often the first sign of a liver under strain, years before any symptom.
ALT (Alanine Aminotransferase). An enzyme found mainly inside liver cells, which leaks into the blood when those cells are irritated or damaged, so a higher level points to liver strain.
AST, ALP, Gamma GT and bilirubin. Measured on the same draw, these show whether a raised ALT fits a liver pattern, a bile flow pattern or a muscle pattern.
ALT sits mostly in the liver, so it is the enzyme most closely linked with liver cell health. The most common reason for a raised ALT today is fatty liver linked with weight, blood sugar and diet. It often turns up in people who feel well and is usually reversible when found early. Alcohol, some medicines and supplements, and viral hepatitis can raise it too.
ALT is most useful read alongside the rest of the screen. A raised ALT with high triglycerides, high fasting insulin or a raised HbA1c fits a metabolic pattern. A raised ALT with a much higher AST and CPK after a heavy gym week points more towards muscle than liver.
UAE labs report ALT in units per litre (U/L). Upper limits often sit somewhere between the 30s and the 50s U/L and are usually lower for women, but reference ranges vary by lab, so your result is read against the lab's own range.
A mild rise is common and is most often linked with fatty liver, alcohol, some medicines or recent hard exercise. It is usually rechecked after a few weeks of changes. A large rise, or one with other abnormal liver results, needs prompt follow-up with your own doctor.
A low ALT is rarely a concern on its own. Very low values are sometimes seen with low muscle mass or low vitamin B6, and they are read alongside the rest of your results.
Reference ranges differ between labs, and a single result is a snapshot. Your consultant reads every value against your history and the rest of the screen, not in isolation.
This test is part of Baseline’s full blood screen: 122 parameters across ten systems from one draw, for AED 850, with results in 48 hours. It is not sold as a single test, because the result means more next to everything else.
Ranges are the lab’s own. Your consultant goes through what they mean with you.
Your results arrive in the Baseline app, every marker against the lab’s own range, checked by your consultant before you see them. The values above are an example.
This page is general information, not a diagnosis. If you feel unwell, or your symptoms are new or getting worse, speak to a doctor.
Reading is not a diagnosis. A consultation goes through your history with you and tells you plainly whether a program fits, including when it does not. AED 350, credited in full against your first order.