GPT and metabolic syndrome: The continuous inflammatory process alone causes additional atherosclerotic process and weight loss in the SCDs cases.17 So the mean weight and body mass index (BMI) were significantly retarded in the SCDs cases.17 Probably due to the significantly lower mean body weight and BMI, mean values of the low density lipoprotein cholesterol, alanine aminotransferase, and systolic and diastolic BPs were also lower in such cases17, which can be explained by definition of the metabolic syndrome.18,19