 pre-transplant hyperlactetemia is common among liver transplant candidates, and it is associated with higher mortality rates following liver transplantation. In this study, researchers found that pre-transplant hyperlactetemia of greater than 4 millimoles per liter was associated with increased early post-transplant mortality. This suggests that future studies should focus on identifying and treating modifiable risk factors to reduce hyperlactetemia and improve outcomes after liver transplantation. This article was authored by Yuzhan Chong, Sango Lee, Du Kiong Lee, and others.