The phrase "altered already" is correct and usable in written English.
It can be used to indicate that something has been changed or modified at an earlier point in time.
Example: "The document has been altered already, so please review the latest version before proceeding."
Alternatives: "changed already" or "modified already".
Taken together, iron parameters are altered already at ICU admission.
The crystal habit was altered already at PVP concentrations as low as 0.001% (w/w).
To find out if the ability to produce ROS was altered already before entering the blood circulation we isolated granulocytes from bone marrow.
The replicative stress is present already in the juvenile SC, as among the most relevant cellular functions altered already at PND10 were cellular proliferation, cell death, and cell cycle according to the array.
These biomarkers may also predict future AD dementia with acceptable accuracy in individuals with mild cognitive impairment (MCI) and they appear to be altered already in preclinical stages [ 14- 20].
The present results show that transcript and metabolite profiles were significantly altered already in response to a moderate decrease in oxygen concentration, indicating large-scale reprogramming of gene expression and metabolism under these conditions.
The methodology of a natural experiment has the main advantage of allowing comparisons of the two approaches without altering already established routine provision of care.
Without proper field experiments, however, it is impossible to say whether these intermediate phenotypes will help, hinder, or not alter already depressed wild salmon populations.
The natural experiment methodology has the advantage of allowing comparisons of the two approaches without altering already established routine provision of care.
This week's debates, though, are about altering already-produced statistics, the fundamental building blocks of sports memory.
Scientifically altered seeds already account for huge parts of the United States cotton, soybean and corn crops.
