Out of 44 patients, 23 (44.2%) had mild histology (F1-F2), 15 (28.8%) patients had severe histological changes (F3), 2 (3.8%) patients had cirrhosis (F4), 4 (7.7%) had non-specific changes (A1/F0).18 Memon MS et al. obtained 55 liver biopsies and found around 60% patients had inflammation equal to or greater than grade 2 while 43.6% patients showed fibrosis equal to or greater than stage (Metavir F≥2), cirrhosis was seen in 7.3% of patients.19 Roshan B et al. reported that fibrosis and necro inflammation were comparable among PnALT and abnormal ALT groups. This evidence concerns the gene GPT and Cirrhosis.