Ast Alt Ratio Calculator

Calculate the AST/ALT ratio (De Ritis ratio) to help assess liver health. Enter the AST and ALT values to get the ratio and a brief interpretation.

isCalculator Editorial Team Published by:
Reviewed by: Review Board
Last Updated:

Was this calculator helpful?

How to use this tool?

AST/ALT Ratio Calculator – Quick Guide

  1. Enter AST value (in U/L) into the first field. Must be a non-negative number.
  2. Enter ALT value (in U/L) into the second field. Must be a positive number (cannot be zero).
  3. Click “Calculate” to compute the ratio.
  4. Read the result:
    • Ratio < 0.8 – suggests non-alcoholic fatty liver disease or viral hepatitis.
    • Ratio 0.8–1.2 – normal range (healthy or mild injury).
    • Ratio > 1.2 – may indicate alcoholic liver disease or cirrhosis.
  5. Use the formula shown: AST ÷ ALT = ratio.

All values must be in U/L (same unit). Negative or zero ALT will show an error.

Previous Results

Generate Charts
Result Inputs Date

Frequently Asked Questions

The AST/ALT ratio, also known as the De Ritis ratio, is the ratio of aspartate aminotransferase (AST) to alanine aminotransferase (ALT) in the blood. It is used to help differentiate between causes of liver damage.

A high ratio (greater than 1.2) may indicate alcoholic liver disease, cirrhosis, or other conditions. It should be interpreted by a healthcare professional.

A low ratio (less than 0.8) may suggest non-alcoholic fatty liver disease or viral hepatitis. Always consult a doctor for an accurate diagnosis.

Reviewed by Experts

Anita Leonor F. Jaime

Anita Leonor F. Jaime

Physician

Dedicated Occupational Physician with experience in Occupational Medicine and emergency care. Proficient in health assessments, hygiene management, and compliance with safety standards. Committed to promoting occupational health and improving workplace quality of life.

LinkedIn
Dr. Leonilde Melgaço

Dr. Leonilde Melgaço

Medical Doctor

Primary health care and Assistant Physician in Occupational Medicine

LinkedIn
Dr. Zouheir Ballouk

Dr. Zouheir Ballouk

Doctor

Medical Doctor Phd

LinkedIn
Layla Nesr

Layla Nesr

Nutritionist

Bachelor’s Degree, BS in Nutrition and Dietetics

LinkedIn
Neil Chaves

Neil Chaves

Doctor

Dentist

LinkedIn
Quick Convert
Length Converter
0
Weight/Mass Converter
0
Area Converter
0
Volume Converter
0
Speed Converter
0
Temperature Converter
0
Pressure Converter
0
Energy Converter
0
Power Converter
0
Force Converter
0
Time Converter
0
Angle Converter
0
Fuel Consumption Converter
0
Data Storage Converter
0
Base Numbers Converter
0
Dry Volume Converter
0
Currency Converter
0
Text Case Converter
0