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As you go through this guide, keep in mind that many of the normal reference ranges were developed on populations eating a high carb diet, and therefore in some cases you may need to adjust your concept of normal for a patient following a low-carb lifestyle. In addition, many normal values vary based on the individual lab, the patients gender, size, etc. We try to clarify where these caveats are most important. ALT is a liver enzyme test measuring hepatocellular damage. It can often be elevated in metabolic syndrome and obesity most commonly due to non-alcoholic fatty liver disease NAFLD. Excessive alcohol intake and liver infections such as hepatitis can also cause elevations. Once the weight loss is over, this elevation tends to disappear and ALT usually normalizes. ALT is found in serum and in various body tissues, but is primarily associated with the liver. It is commonly measured as part of a diagnostic liver function test to determine liver health. Fasting glucose Fasting blood glucose FBG is most commonly used to diagnose or assess diabetes, monitor hyperglycemia and hypoglycemia, and aid in diabetes treatment decisions.
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