However, when we compared the impact of AFP combined with AST, and ALT on LS, the results showed that AFP level (AFP > 8 ng/ml) and high ALT/AST levels (ALT/AST > 2 ULN) predicted a significantly increased risk of liver fibrosis (OR = 11.968 for ALT and OR = 28.261 for AST). Here, AFP is linked to Hepatic fibrosis.