In most of the liver diseases (acute or chronic), the ratio is less than or equal to 1 such as nonalcoholic fatty liver disease (NAFLD) and viral hepatitis (B or C) [9], whereas, an AST/ALT ratio greater than 2 characteristically is present in alcoholic hepatitis [10] and a ratio greater than 4 suggests Wilson's disease [11]. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.