Dear Editor,
We would like to thank Professor Emiroglu [1] for showing interest in our paper. According to the guidelines established by the American Association for the Study of Liver Disease, the upper limit of normal for alanine aminotransferase (ALT) levels in healthy adult males is reported to range between 29–33 U/L [2]. However, to accommodate for differences in repeat testing for the same sample and to improve management decisions [3], it has been recommended to update the upper limit of normal for ALT in males to 35 U/L. Therefore, we agree that “<35 U/L” would be a more appropriate reference range for guidance. We will be mindful of any small errors that could cause confusion in decision-making.
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