How to prepare
No fasting is required for an AST test. Drink water as normal.
Let your practitioner know about any medications, supplements, or herbal products you take, as some can affect liver enzyme levels. Strenuous exercise can raise AST due to muscle breakdown, so avoid intense physical activity in the 24 hours before the test if possible. A healthcare professional will take a blood sample from a vein in your arm.
After the test
Share your results with your GP or relevant specialist. If your AST is elevated, your practitioner may request additional tests such as ALT, GGT, ALP, bilirubin, or creatine kinase (CK) to determine the likely source.
If your result is within range but you have ongoing symptoms, your practitioner may investigate other causes.
Your test results will be available in your private dashboard. If there are any urgent issues, we'll let you know so you can follow up with your health professional.
Understanding results
Results are reported in units per litre (U/L). Reference ranges vary between laboratories, but a typical adult range is approximately 10 to 40 U/L, and can differ between males and females.
Elevated AST may be associated with liver conditions including hepatitis, fatty liver disease, and alcohol-related liver damage. It can also be raised after muscle injury, intense exercise, or conditions affecting heart muscle. A high AST in the absence of elevated ALT may suggest a source outside the liver.
Your practitioner will look at AST alongside ALT and other markers before drawing any conclusions or recommending further testing.