AST 28 ALT 12

[unknown25476]

I recently had a physical and my AST and ALT were 28 and 12 respectively.  My doctor said that it was fine but have seen where the 2:1 ratio can mean liver damage?  Any thoughts or suggestions?

[belladonna99]

Your liver is fine, The ratio is only a pointer to the cause of liver damage when the levels are elevated. Since your levels are normal there is no damage

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood). The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.
Yes, a 2:1 ratio does show a liver problem, but rarely when the enzymes are in normal range. However if you have symptoms like jaundice, food not getting digested, pain under ribs, nausea, fever, etc, then maybe a repeat analysis of enzymes should be done. Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!