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Yes, you do have to know the reference range for that lab. they do differ.
The reference range is always given with your actual results, and as a rule a highlilght or an "H" or the word "High" will accompany a result that is out of range for that lab.


Even so, for any lab that I've heard of, a result under 30 would usually look pretty good, under 20 even better. And in my experience at least, no lab would consider 50 "in range." So the variance is not infinite.
Since I don't remember ever getting an alt or ast score lower than 75--and this was years ago--I figger I'm not scoring better than C minus no matter how the scores are curved.

Still, it is important to remember that some folks get pretty elevated enzyme levels without serious liver damage, and other folks can have the opposite result. We've learned not to put toooo much faith in these numbers at all. This is, in fact, why the biopsy seems so useful. Although there is variation in reading a biopsy result, it is a much more direct measure of our liver's health.



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