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What is the ALT level for fatty liver?

Published in Liver Health 2 mins read

An elevated ALT (Alanine Aminotransferase) level can be an indicator of fatty liver disease, specifically when combined with imaging results. The specific ALT levels associated with fatty liver are:


Elevated ALT Levels Indicative of Fatty Liver

When imaging tests show signs of a fatty liver, the following ALT levels may suggest the presence of metabolic dysfunction-associated steatotic liver disease (MASLD), which was previously called fatty liver disease:


Gender ALT Level (IU/L)
Men Over 30
Women Over 20


Understanding ALT and Fatty Liver

  • ALT Explained: ALT is an enzyme found primarily in the liver. When liver cells are damaged, ALT is released into the bloodstream, leading to higher levels in blood tests.
  • Imaging Confirmation: It is crucial to note that elevated ALT levels are not the sole indicator. They must be accompanied by imaging results (such as ultrasound or MRI) that show fatty liver for a diagnosis of MASLD.
  • Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): This term replaces the old term "fatty liver disease" and reflects the strong link between metabolic problems and the development of this condition.


Key Takeaways

  • Gender Differences: The threshold for elevated ALT is different for men and women.
  • Combination is Key: Elevated ALT alone doesn't mean fatty liver; it needs imaging evidence.
  • MASLD: Fatty liver disease is now known as MASLD to highlight its connection to metabolic issues.


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