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  • ALT (Alanine Aminotransferase) Test

ALT (Alanine Aminotransferase) Test

What is an ALT test?

An alanine aminotransferase (ALT) test measures the level of ALT in your blood. ALT is an enzyme made by cells in your liver. The liver is the body’s largest gland. It has several important functions, including:

  • making proteins
  • storing vitamins and iron
  • removing toxins from your blood
  • producing bile, which aids in digestion

Proteins called enzymes help the liver break down other proteins so your body can absorb them more easily. ALT is one of these enzymes. It plays a crucial role in metabolism, the process that turns food into energy. ALT is normally found inside liver cells. However, when your liver is damaged or inflamed, ALT can be released into your bloodstream. This causes serum ALT levels to rise. Measuring the level of ALT in a person’s blood can help doctors evaluate liver function or determine the underlying cause of a liver problem. The ALT test is often part of an initial screening for liver disease. An ALT test is also known as a serum glutamic-pyruvic transaminase (SGPT) test or an alanine transaminase test.

Why is an ALT test done?

The ALT test is usually used to determine whether someone has liver injury or failure. Your doctor may order an ALT test if you’re having symptoms of liver disease, including:

  • jaundice, which is yellowing of your eyes or skin
  • dark urine
  • nausea
  • vomiting
  • pain in the right upper quadrant of your abdomen

Liver damage generally causes an increase in ALT levels. The ALT test can evaluate the levels of ALT in your bloodstream, but it can’t show how much liver damage there is or how much fibrosis, or scarring, is present. The test also can’t predict how severe the liver damage will become. An ALT test is often done with other liver enzyme tests. Checking ALT levels along with levels of other liver enzymes can provide your doctor with more specific information about a liver problem.

An ALT test may also be performed to:

  • monitor the progression of liver diseases, such as hepatitis or liver failure
  • assess whether treatment for liver disease should be started
  • evaluate how well treatment is working

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