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Alanine transaminase (ALT) is an enzyme thatâs mainly found in your liver. High levels of ALT in your blood may indicate damage or injury to your liver._Apr 26, 2024 · A liver enzyme known as ALT plays an important role in breaking down proteins in the digestive process. High levels of ALT in the blood can indicate liver issues.%Jan 13, 2025 · The possible causes of high ALT levels in the body include liver disease, alcoholism, obesity, muscle damage, heart failure, and more. Learn about symptoms and ways