AST:ALT Ratio

The AST:ALT ratio compares the levels of two liver enzymes. A ratio above 1 may indicate liver injury, alcoholic liver disease, or other liver conditions.

Category: Liver Function

Also known as: ast : alt

Reference range: 0–1 ratio (Source: ABIM)

Standard unit: ratio

High values may indicate

A ratio greater than 1 may suggest alcoholic liver disease, cirrhosis, or other hepatic pathology.

Low values may indicate

A ratio below 1 is generally normal and suggests non-alcoholic liver disease if enzymes are elevated.

Frequently asked questions

What is a normal AST:ALT Ratio level?
A typical reference range for AST:ALT Ratio is 0–1 ratio (source: ABIM). Reference ranges vary by laboratory, age, and sex, so always compare against the range on your own lab report.
What units is AST:ALT Ratio measured in?
AST:ALT Ratio is most commonly reported in ratio. Labs in different countries may use other units — you can convert between them with BloodId's blood test unit converter.
Where do AST:ALT Ratio reference ranges come from?
BloodId uses ABIM standard reference ranges and educational information from MedlinePlus (see our methodology). Reference ranges still vary by lab, age, and sex, so always compare against your own report.
Can I track AST:ALT Ratio over time?
Yes. Upload results from any lab and BloodId charts your AST:ALT Ratio over time against its reference range, so you can see whether the trend is rising, falling, or stable.

Related biomarkers

Source: BloodId admin-reviewed

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