Is a cholinesterase level of 4700 low?

Cholinesterase 4700 refers to a cholinesterase level of 4700 U/L, which is below the normal range.

Cholinesterase is an enzyme that hydrolyzes acetylcholine. The normal reference range is 5000–12000 U/L. Elevated levels may be associated with conditions such as hyperthyroidism, diabetes, hypertension, or renal failure. However, a value of 4700 U/L is relatively low. This reduction should raise consideration for causes such as organophosphorus poisoning or hepatitis. When organophosphate pesticides enter the body, they bind to cholinesterase, impairing its normal function and leading to a series of adverse reactions. Therefore, to restore cholinesterase activity, it is necessary to follow medical advice and take cholinesterase reactivators such as pralidoxime chloride or pralidoxime iodide. Additionally, hepatitis can lead to decreased cholinesterase levels. In such cases, liver damage is the primary cause affecting cholinesterase production. Under medical guidance, antiviral and hepatoprotective treatments such as entecavir tablets or compound glycyrrhizin tablets may be used.

Individuals with low cholinesterase levels can benefit from consuming protein-rich foods and may also directly supplement cholinesterase to support liver protection.