Sakari has one variant indicating low normal ALT. This is NOT a factor of any desease, deficency, defect or disorder. She is breed healthy! This factor is only a clinical tool to know her personal normal ALT range. She has blood tested a normal 32 U/L (normal range 10-125) This variant just clarifies her normal range. Learn more about ALT link: https://embarkvet.com/resources/breeder/canine-genetics-for-dog-breeders/health-spotlight/alt/