The second study was a multi-center study and involved 300 cirrhotic patients and found that BMI, serum glucose, ALT, AST, GGT, and ALP decreased; while serum bilirubin increased significantly after full Ramadan fast and they concluded that patients with Child A liver cirrhosis and with no history of GI bleeding may tolerate fasting Ramadan. Here, GPT is linked to cirrhosis of liver.