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HDL42
Triglycerides180
ApoB110
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Aspartate Aminotransferase (AST)mg/dL
Gamma-Glutamyl Transferase (GGT)mg/dL
Alkaline Phosphatase (ALP)mg/dL
26 U/L normal
0 from your result
normalmildly elevatedelevatedvery high
1normal 5 to 41330
what this means

26 is normal for ALT, which is where you want it.

this is the average reading · make it yours below

reading as

Nothing here needs chasing. ALT reads in range, so the useful thing is the direction it moves next. Keep this number to compare your retest against.

You are inside the normal range of 5 to 41 U/L. Right where you want it.

26 is normal. This is the range the reference table treats as normal for ALT, so this is maintenance rather than repair. What it means for you still depends on the rest of your panel.

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Your BloodMarker report · Alanine Aminotransferase (ALT)

Alanine Aminotransferase (ALT) 26 U/L: Is That Normal?

Yes. 26 U/L is in the normal range for ALT.

But a number alone is only half the story. Your Aspartate Aminotransferase (AST), Gamma-Glutamyl Transferase (GGT) and your risk factors decide how much it means. Tell it who you are.

Reviewed against ALF, NIH, Mayo Clinic, AGA guidelines · Last reviewed March 30, 2026

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YOUR NUMBERS

Normal: <44
Raised: 44-87
High: 88+

Values in U/L. Your Alanine Aminotransferase (ALT) of 26 is marked.

What they say together.

Alanine Aminotransferase (ALT) is read as part of a set. Add the ones printed next to it on your test and the figures below work themselves out, with the ranges this page uses for each.

U/LNORMAL
U/LexampleNORMAL
U/LexampleRAISED
34 ÷ 26 =1.3AST to ALT ratio, the De Ritis ratio. Under 1 is the usual fatty-liver pattern; above 2 points at alcohol.
62 and 262.4GGT against ALT. GGT rising faster than ALT is the pattern that separates alcohol and bile flow from fat in the liver.
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Is Alanine Aminotransferase (ALT) 26 U/L Low, Normal, or High?

Alanine Aminotransferase (ALT) 26 U/L generally falls within what might be considered a healthy range for most adults. This level is typically far from what would raise immediate concern or be classified as unusually low or high.

Instead, it suggests a well-functioning system that is likely not under significant stress. Understanding where this number sits on the broader spectrum of potential values can offer valuable insights into your overall health picture, especially concerning liver function, and help you recognize what truly elevated levels might signify.

what this page cannot tell you

The AST/ALT ratio distinguishes alcoholic from non-alcoholic liver damage. Without both, the cause is unclear.

This page has not been given your AST, so that half of the picture is missing here. It is describing the average reader with Alanine Aminotransferase (ALT), not you.

Read mine against my AST →

An Alanine Aminotransferase (ALT) level of 26 U/L is a reassuring indicator of healthy liver function, sitting comfortably within the normal reference range of 5-40 U/L. This optimal reading strongly suggests your liver cells are largely intact, experiencing no significant inflammation, and effectively carrying out their vital metabolic processes.

Such a favorable value often reflects a combination of healthy lifestyle choices, including a balanced diet and regular physical activity, along with the absence of acute liver stressors like certain medications or infections.

It signifies that the natural, continuous cellular turnover in the liver is proceeding normally, releasing only expected, minimal amounts of this enzyme into the bloodstream. Given this excellent result, no immediate specific follow-up tests are typically warranted for your ALT level itself.

Instead, this finding would be considered a positive component of your overall health assessment, with future checks scheduled as part of routine preventative care or your doctor’s general recommendations. An important detail for patients to understand is that while a value like 26 U/L is ideal, liver health is dynamic.

This number offers a snapshot of your liver's current state, and minor day-to-day fluctuations can occur even within the normal range due to factors like intense exercise, hydration status, or recent food intake.

Therefore, continuous adherence to healthy habits remains crucial for sustained liver wellness, supporting long-term health beyond any single test result.

The liver and Alanine Aminotransferase (ALT) LIVER Produces Alanine Aminotransferase (ALT) Blood supply Bile output Elevated Alanine Aminotransferase (ALT) may indicate liver cell damage or stress
for your numbersThe section below is written for 26 against a general adult target. What 26 means for you depends on the rest of your lipids and your other risk factors. Your report starts from your whole picture, not one line.

Hidden Risk of Alanine Aminotransferase (ALT) 26 U/L

When your Alanine Aminotransferase (ALT) level is 26 U/L, the immediate 'hidden risk' is not that the number itself is alarming, but rather the risk of overlooking the broader context of liver health.

This specific value is comfortably within a healthy range, meaning your liver is likely performing its vital functions without significant cellular distress. However, it's crucial to understand that even within 'normal' ranges, a subtle upward trend over time could potentially signal changes that warrant attention in the future, even if 26 U/L itself is not a concern.

The actual 'danger zone' for ALT often begins at levels significantly higher, sometimes even exceeding 100 U/L or more, depending on the individual and the laboratory's specific reference ranges, as highlighted by organizations like the National Institutes of Health (NIH).

Comparing your 26 U/L to these much higher values can provide reassurance and emphasize the current healthy state of your liver, while still encouraging a proactive approach to maintaining this well-being and being aware of factors that could cause future elevations.

what this page cannot tell you

ALT elevated with normal ALP suggests liver cell damage. The reverse points to bile duct or bone issues. Very different problems.

This page has not been given your ALP, so it cannot tell you which of those you are. It is describing the average reader with Alanine Aminotransferase (ALT), not you.

Read mine against my ALP →

While a value of 26 U/L is considered within the normal reference range, it's crucial to understand that even seemingly stable liver enzyme levels can mask early signs of underlying hepatic stress.

Chronic, low-level inflammation or oxidative damage, often not yet severe enough to elevate ALT significantly above the upper limit, can still contribute to gradual fibrotic changes over time. This slow progression, driven by factors like sustained unhealthy dietary habits or undiagnosed metabolic syndrome, may eventually lead to conditions such as non-alcoholic steatohepatitis (NASH), which can impair liver function long-term if left unaddressed. The absence of a high value doesn't guarantee an absence of hepatic insult.

for your numbersThe risk below is the average one for this ALT. Whether it applies to you depends on the rest of your panel, which the article has not been given. Add them and this stops describing strangers.
  • **Understanding the spectrum**: While 26 U/L is good, knowing what causes truly elevated ALT helps you proactively protect your liver.
  • **Baseline importance**: This healthy number provides a valuable baseline against which any future changes can be compared and assessed.

This part is about the number

Everything below explains what raises Alanine Aminotransferase (ALT). It cannot tell you which of them is yours.

Your test can. Every marker on it is read against every other one, which is where the answer actually lives.

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What Does a Alanine Aminotransferase (ALT) Level of 26 U/L Mean?

To understand what Alanine Aminotransferase (ALT) 26 U/L means, let's think of your liver cells as small, bustling factories, each filled with specialized tools to get work done. One of these important tools is a protein called Alanine Aminotransferase, or ALT.

Its main job is to help process amino acids, which are the building blocks of proteins, converting them into energy. Normally, these ALT 'tools' stay safely inside the liver cells, where they belong.

They only get into your bloodstream in larger amounts if the liver cells are damaged or inflamed, causing these tools to 'leak out.'

An Alanine Aminotransferase (ALT) level of 26 U/L, squarely within the typical reference range, is often seen in individuals who maintain generally healthy lifestyles, but may still have minor influences.

Common contributors include a diet that occasionally includes high-fat or processed foods, or moderate alcohol consumption that doesn't trigger a more pronounced enzyme elevation. Certain over-the-counter medications or supplements, even when taken as directed, can also exert a mild, transient effect on liver cells.

Additionally, early stages of fatty liver disease, particularly non-alcoholic fatty liver disease (NAFLD), might present with normal or near-normal ALT values before progressing to more significant inflammation.

Imagine these liver cells as tiny, perfectly sealed workshops. If a workshop is damaged, some tools might fall out onto the floor. In this analogy, the bloodstream is the factory floor.

So, when your Alanine Aminotransferase (ALT) level is 26 U/L, it indicates that only a very small number of these 'tools' have found their way out of your liver cells and into your bloodstream.

This is a reassuring sign, suggesting that your liver cells are largely intact and healthy, and not experiencing significant damage or inflammation. A low number like 26 U/L suggests the 'workshop walls' are strong and secure.

In contrast, if the walls were significantly damaged, many tools would spill out, leading to much higher ALT numbers. Medical experts, including those at the Mayo Clinic, often emphasize that readings within this range are typically a positive indicator of liver health, pointing to minimal cellular disruption and efficient liver function.

It means your liver is likely doing its job effectively without any notable stress or injury that would cause a substantial leak of ALT into your blood.

Your ALT 26 means different things depending on your other markers

ALT + AST
The AST/ALT ratio distinguishes alcoholic from non-alcoholic liver damage. Without both, the cause is unclear.
ALT + ALP
ALT elevated with normal ALP suggests liver cell damage. The reverse points to bile duct or bone issues. Very different problems.
ALT + Total Bilirubin
Elevated ALT with high bilirubin means the liver damage is severe enough to impair bile processing.
Upload your blood test to see these for real →
for your numbersThis section lists every reason ALT moves, because on its own the number cannot say which is yours. The rest of your panel and a few risk factors would cross most of them off in a sentence.

Lifestyle Changes for Alanine Aminotransferase (ALT) 26 U/L

Maintaining an Alanine Aminotransferase (ALT) level of 26 U/L, which is already within a healthy range, centers on continuing lifestyle choices that support overall liver well-being and preventing future elevations.

While this value doesn't signal a need for urgent intervention, adopting habits that foster robust health can help ensure your liver continues to function optimally. Regular physical activity, for instance, plays a significant role.

Engaging in moderate exercise most days of the week, such as brisk walking, swimming, or cycling, can help manage weight, improve insulin sensitivity, and reduce the risk of conditions like non-alcoholic fatty liver disease (NAFLD), which can contribute to higher ALT levels over time.

Aiming for at least 150 minutes of moderate-intensity aerobic activity each week, as recommended by the Centers for Disease Control and Prevention (CDC), is a great goal.

For an ALT result of 26 U/L, maintaining current healthy habits is paramount, but targeted vigilance is advisable. Focus on consistently reducing intake of saturated fats, added sugars, and alcohol, as these are the highest yield lifestyle changes for liver health.

Consider a follow-up ALT test in six months to confirm stability and monitor for any upward trend. If you are taking any new medications or supplements, review their potential hepatic impact with a pharmacist.

While not immediately necessary, if you have risk factors for metabolic syndrome (e.g., obesity, diabetes), discussing these with your primary care physician for further evaluation might be beneficial.

for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.

Adequate sleep is another cornerstone of good health, allowing your body, including your liver, to repair and regenerate. Chronic sleep deprivation can put stress on your system, potentially impacting metabolic functions.

Similarly, managing stress effectively through techniques like mindfulness, meditation, or hobbies can reduce the burden of stress hormones on your body. Limiting exposure to environmental toxins and avoiding excessive alcohol consumption are also crucial.

While 26 U/L does not suggest alcohol is currently harming your liver, responsible drinking habits are always part of a liver-friendly lifestyle. Furthermore, being mindful of over-the-counter medications and supplements, and discussing them with your healthcare provider, ensures you're not inadvertently burdening your liver.

These proactive steps are about safeguarding your current healthy ALT level and promoting long-term liver resilience.

for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.

Diet Changes for Alanine Aminotransferase (ALT) 26 U/L

Since your Alanine Aminotransferase (ALT) level of 26 U/L indicates a healthy liver, the focus for diet is not on 'fixing' a problem, but rather on sustaining and enhancing this excellent state of well-being.

A diet rich in whole, unprocessed foods supports all bodily functions, including those of the liver, and can help prevent future elevations of ALT. Emphasizing a diverse intake of fruits, vegetables, whole grains, and lean proteins provides essential nutrients and antioxidants that protect liver cells from damage and support their detoxification processes.

Consider adopting eating patterns like the Mediterranean diet, which is widely recognized for its benefits to cardiovascular health and overall organ function, as highlighted by organizations like the World Health Organization (WHO).

Reducing the consumption of highly processed foods, sugary drinks, and excessive amounts of unhealthy fats is also beneficial. These items can contribute to weight gain, insulin resistance, and inflammation, all of which are factors that could potentially lead to higher ALT levels down the road.

Instead, focusing on nutrient-dense foods helps maintain a healthy weight and metabolic balance, which are key for optimal liver function. Think of your diet as a way to provide your liver with all the necessary resources to continue its vital work without being overloaded or stressed.

Small, consistent dietary choices can have a profound cumulative effect on your long-term health.

for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.
  • **Incorporate more plant-based foods**: Load up on leafy greens, berries, and colorful vegetables for their antioxidant power.
  • **Choose healthy fats**: Opt for sources like olive oil, avocados, nuts, and seeds over saturated and trans fats.
Foods that support liver health Broccoli Cruciferous Coffee Liver-protective Fatty fish Omega-3s Nuts Vitamin E Olive Oil Healthy fats Reduce alcohol and processed foods to support liver recovery
for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.

Alanine Aminotransferase (ALT) 26 U/L in Men, Women, Elderly, and Kids

The interpretation of an Alanine Aminotransferase (ALT) level like 26 U/L can be subtly influenced by factors such as age and sex, though for this specific healthy value, the differences are generally minor.

While 'normal' ranges can vary slightly between laboratories and might have different upper limits for men compared to women, a reading of 26 U/L typically falls comfortably within the healthy spectrum for virtually all adults, regardless of sex.

For instance, some reference ranges might define the upper limit of normal for men as slightly higher than for women, yet 26 U/L remains well below most conventional thresholds for concern in either group.

In children, ALT levels naturally tend to be lower than in adults due to their developing physiology, and a value of 26 U/L would still be considered within a healthy range, indicating appropriate liver function for their age.

As people age into their elderly years, there can be slight shifts in typical enzyme levels, but a 26 U/L ALT level continues to be a reassuring sign of good liver health.

The National Kidney Foundation (NKF) and other medical bodies emphasize that while demographic factors can influence the 'normal' range boundaries, a value like 26 U/L strongly suggests that the liver is not experiencing significant injury or inflammation across these different population groups.

The key takeaway is that an ALT of 26 U/L consistently indicates a healthy liver, affirming its robust function regardless of whether you are a man, woman, elderly individual, or a child, allowing for universal reassurance at this specific measurement.

for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.
for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.

Medicine Effects on Alanine Aminotransferase (ALT) 26 U/L

When your Alanine Aminotransferase (ALT) level is 26 U/L, it's generally unlikely that this specific reading is a direct indication of significant medication-related liver stress. Many medications, both prescription and over-the-counter, have the potential to impact liver enzymes, sometimes causing ALT levels to rise.

This is because the liver is the primary site for processing and metabolizing drugs, and in some cases, this process can lead to temporary or, less commonly, sustained liver irritation or damage.

However, a level of 26 U/L sits well within typical healthy ranges, suggesting that if you are taking medications, they are most likely not causing a noticeable detrimental effect on your liver as reflected by this enzyme level.

If medications were causing significant liver stress, you would typically see ALT values that are notably higher, often reaching two to three times the upper limit of the normal range, or even more, before a doctor would usually consider adjusting or discontinuing a drug, as detailed by sources such as the American Association for the Study of Liver Diseases.

It's important to remember that even with a healthy ALT of 26 U/L, it's always wise to inform your healthcare provider about all medications, supplements, and herbal remedies you are taking.

This comprehensive view helps them monitor your health holistically and anticipate any potential interactions or side effects that might not be immediately apparent in a single lab value. Your healthcare team can assess if your current medications could potentially impact your liver over the long term, even if your current ALT is reassuringly low.

for your numbersThe advice below assumes a number that needs fixing. At 26 it already reads normal, so read this as maintenance, not repair. Your report would flip the section rather than make you translate it.
  • **Review all medications**: Share a full list of your current drugs and supplements with your doctor for a complete health overview.
  • **Do not stop medications independently**: Always consult your healthcare provider before making any changes to your medication regimen.

When to Retest Alanine Aminotransferase (ALT) 26 U/L

Given that your Alanine Aminotransferase (ALT) level is 26 U/L, which falls squarely within a healthy range, there is typically no immediate need to repeat this specific test solely based on this result.

A value of 26 U/L is a reassuring indicator of current liver health and doesn't suggest a problem that requires urgent re-evaluation. Instead, the timing of future ALT tests would usually align with your routine health check-ups or be part of a broader monitoring plan for other medical conditions you might have.

For most individuals with a healthy ALT like this, a repeat test might be part of an annual physical exam or a follow-up if other health concerns arise that could potentially affect liver function.

Organizations like the American College of Physicians often emphasize the importance of routine preventative care, which includes periodic blood tests to track overall health trends rather than focusing on a single, perfectly healthy marker in isolation.

If your healthcare provider initially ordered the ALT test as part of a general health screening, and all other related markers are also within normal limits, they might recommend repeating it at your next scheduled wellness visit.

However, if the test was ordered to investigate specific symptoms or to monitor an existing condition, your provider would give you tailored guidance on when to retest, regardless of this healthy 26 U/L result.

The goal with a healthy reading is to maintain that health, and regular, but not necessarily immediate, monitoring is part of that proactive approach to long-term well-being.

Alanine Aminotransferase (ALT) 26 U/L — Frequently Asked Questions

An Alanine Aminotransferase (ALT) level of 26 U/L is a very good sign that your liver cells are generally healthy and not experiencing significant damage or inflammation. However, it's important to remember that a single lab value provides only one piece of the puzzle.

While this number is reassuring, a comprehensive assessment of liver health often involves considering other lab markers, your medical history, lifestyle factors, and any symptoms you might have. This healthy ALT level suggests a strong foundation for good liver health, but it doesn't rule out every possible liver condition, especially those that might not immediately impact ALT levels.

To maintain a healthy Alanine Aminotransferase (ALT) level of 26 U/L, focus on consistent lifestyle habits that support overall liver and metabolic health. These include regular physical activity to help manage weight and improve insulin sensitivity, a balanced diet rich in fruits, vegetables, and whole grains while limiting processed foods, and moderate alcohol consumption.

Adequate sleep and stress management are also key. These habits contribute to preventing conditions that could otherwise lead to future ALT elevations, helping to safeguard your liver's excellent current state.

An Alanine Aminotransferase (ALT) level of 26 U/L is generally considered well within a healthy range and is far from what doctors would typically be concerned about. Levels that prompt concern are often significantly higher, sometimes twice, three times, or even ten times the upper limit of the normal range, which can vary but often sits around 40-50 U/L for many labs.

For example, if your ALT were consistently above 100 U/L, or even much higher, that would indicate a greater degree of liver cell damage or inflammation. Your current 26 U/L result is a reassuring indicator that your liver is likely functioning very well.

When to See a Doctor About Alanine Aminotransferase (ALT) 26 U/L

While your Alanine Aminotransferase (ALT) level of 26 U/L is a reassuring indicator of good liver health, it's important to understand when to consult a healthcare professional regarding liver health in general, even with a favorable current result.

This specific number doesn't typically warrant an immediate doctor's visit on its own. However, if you develop new or concerning symptoms that could be related to liver function, regardless of your healthy ALT, then seeking medical advice is prudent.

These symptoms might include persistent fatigue, unexplained nausea, dark urine, pale stools, yellowing of the skin or eyes (jaundice), or persistent pain in the upper right side of your abdomen.

Even if your current ALT is healthy, a consistent upward trend in this number over successive tests, or if your healthcare provider highlights other concerning blood work results, would be a reason to schedule an appointment.

Your doctor will interpret your ALT level within the context of your overall health, medical history, and any other symptoms or risk factors you might have. Regular check-ups with your primary care provider are essential for monitoring your health over time and discussing any changes or concerns you may have, ensuring that any subtle shifts in your health are identified and addressed proactively.

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A page like this one, written about you.

You have just spent a few minutes reading a page written for a number. Upload your whole test and you get the same thing written for your body: every marker read against every other, in the order they should be fixed, as something you read rather than a dashboard you have to decode.

  • Read in orderWhich number to deal with first, and which ones are only following it.
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