GHRL and diabetes mellitus: Similarly, after multivariate adjustment of prevalence of elevated ALT for sex, BMI, systolic blood pressure, alcohol use, waist-hip ratio, diabetes, fasting glucose, total cholesterol to HDL ratio, triglycerides, leptin, IL-6, adiponectin, ghrelin, bilirubin, GGT, and albumin, results remained statistically significant and showed a consistent downward trend of prevalence of elevated ALT with increasing age (p = 0.0001, Figure 3).