In addition, raised bile acid was associated with higher odds of advanced liver disease or HCC (Child-Pugh; OR 4.21; p < 0.001), whereas abnormal ALT was not associated with higher odds of liver fibrosis and advanced liver disease or HCC (OR 0.53; p = 0.004 and OR 0.49; p = 0.004, respectively) (Table 3). Here, GPT is linked to hepatocellular carcinoma.