My ALT & AST were always in the normal range, even when the viral load was very high. For example, this winter my viral load was 16,000,000 and ALT & AST were both 22. Just before the treatment, my viral load was 7,150,000, AST was 24, and ALT 31, both is in the middle of the normal range.
My always normal ALT & AST were the reason for a significant delay in the diagnosis. With numbers like this viral hepatitis was the last thing on the doctor's mind. The Dr.