![Tony Breu on X: "12/ On the other hand, because AST is cleared within the liver by sinusoidal cells, as cirrhosis develops, clearance may decrease. Result: the AST/ALT ratio increases as cirrhosis Tony Breu on X: "12/ On the other hand, because AST is cleared within the liver by sinusoidal cells, as cirrhosis develops, clearance may decrease. Result: the AST/ALT ratio increases as cirrhosis](https://pbs.twimg.com/media/Dn2ZbukUYAADdfe.png:large)
Tony Breu on X: "12/ On the other hand, because AST is cleared within the liver by sinusoidal cells, as cirrhosis develops, clearance may decrease. Result: the AST/ALT ratio increases as cirrhosis
Keith Siau on X: "ALT / AST levels in liver disease #LiverTwitter #4KMedEd https://t.co/PN4CY4jRRM https://t.co/mZrCV4gZ6S" / X
![Histological activity despite normal ALT and IgG serum levels in patients with autoimmune hepatitis and cirrhosis - ScienceDirect Histological activity despite normal ALT and IgG serum levels in patients with autoimmune hepatitis and cirrhosis - ScienceDirect](https://ars.els-cdn.com/content/image/1-s2.0-S2589555921000975-ga1.jpg)
Histological activity despite normal ALT and IgG serum levels in patients with autoimmune hepatitis and cirrhosis - ScienceDirect
![Normal liver enzymes are correlated with severity of metabolic syndrome in a large population based cohort | Scientific Reports Normal liver enzymes are correlated with severity of metabolic syndrome in a large population based cohort | Scientific Reports](https://media.springernature.com/full/springer-static/image/art%3A10.1038%2Fsrep13058/MediaObjects/41598_2015_Article_BFsrep13058_Fig1_HTML.jpg)
Normal liver enzymes are correlated with severity of metabolic syndrome in a large population based cohort | Scientific Reports
![Juan Turnes on X: "How can we improve detection of advanced liver fibrosis & cirrhosis in the general population? It is not so difficult: screen using the AST/ALT ratio: Interesting data presented Juan Turnes on X: "How can we improve detection of advanced liver fibrosis & cirrhosis in the general population? It is not so difficult: screen using the AST/ALT ratio: Interesting data presented](https://pbs.twimg.com/media/EggVr1cUwAAVvzv.jpg)
Juan Turnes on X: "How can we improve detection of advanced liver fibrosis & cirrhosis in the general population? It is not so difficult: screen using the AST/ALT ratio: Interesting data presented
![Predictive value of ALT levels for NASH and advanced fibrosis | Nature Reviews Gastroenterology & Hepatology Predictive value of ALT levels for NASH and advanced fibrosis | Nature Reviews Gastroenterology & Hepatology](https://media.springernature.com/full/springer-static/image/art%3A10.1038%2Fnrgastro.2013.138/MediaObjects/41575_2013_Article_BFnrgastro2013138_Fig1_HTML.jpg)
Predictive value of ALT levels for NASH and advanced fibrosis | Nature Reviews Gastroenterology & Hepatology
![Figure 1 from Comparative Levels of ALT, AST, ALP and GGT in Liver associated Diseases | Semantic Scholar Figure 1 from Comparative Levels of ALT, AST, ALP and GGT in Liver associated Diseases | Semantic Scholar](https://d3i71xaburhd42.cloudfront.net/52554dac75e087ca4f69e0edbdf08269061ebbff/3-Figure1-1.png)