GPT and steatosis: Mofrad et al. found that the mean steatosis (1.60 vs. 2.16, P <  0.04) and perisinusoidal fibrosis scores (0.35 vs. 0.9, P <  0.049) were lower in patients with the lower ALT levels versus patients with higher ALT, and a low normal ALT value does not correspondence to the freedom of underlying steatohepatitis with advanced fibrosis [21].