Understanding Aspartate Aminotransferase (AST/SGOT): Normal vs Optimal Ranges

Also known as: sgot, serum glutamic-oxaloacetic transaminase, aspartate aminotransferase

Liver & Metabolic HealthUnit: U/L

?What is Aspartate Aminotransferase (AST/SGOT)?

AST is an enzyme found primarily in the liver, heart, and skeletal muscles that is released into the bloodstream when these tissues are damaged or stressed. Elevated AST levels can suggest liver disease, muscle injury, or hemolysis, though AST alone is not tissue-specific and must be interpreted alongside other markers. AST is commonly measured as part of liver function tests and comprehensive metabolic panels.

!Why It Matters

AST levels may suggest liver injury, inflammation, or cirrhosis when elevated, and can also reflect muscle damage or cardiac stress. Since AST is found in multiple tissues, abnormal results warrant further investigation with other liver markers (ALT, bilirubin) and clinical assessment. Monitoring AST trends over time can help track the progression or improvement of liver and metabolic health.

Reference Ranges

Range TypeMinMaxUnitNote
Lab Normal1040U/LStandard lab reference range
Optimal1035U/LEvidence-based optimal range for health
Longevity Target1035U/LPer longevity medicine research (Attia et al.)

Lab normal ranges may vary between laboratories. Optimal and longevity targets are based on research literature and should be interpreted with your physician.

Symptoms of Imbalance

  • Jaundice or yellowing of skin and eyes
  • Abdominal pain or swelling
  • Fatigue and weakness
  • Nausea or loss of appetite
  • Dark urine or pale stools

How to Improve Your Levels

  • 1Limit or avoid alcohol consumption to reduce liver stress
  • 2Maintain a balanced diet rich in whole grains, vegetables, and lean proteins
  • 3Stay hydrated and drink adequate water daily
  • 4Exercise regularly to support overall metabolic health and muscle integrity
  • 5Avoid hepatotoxic medications and supplements when possible; consult your doctor
  • 6Manage underlying conditions such as viral hepatitis, fatty liver disease, or metabolic syndrome

When to Test

AST is typically measured during routine health check-ups, when liver disease is suspected, after muscle injury or intense exercise, or when monitoring the effects of alcohol use or certain medications on liver function.

Related Biomarkers

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