AFP and cirrhosis of liver: As anticipated, patients who developed liver cirrhosis (F4) were associated with higher levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alpha fetoprotein (AFP) than those who have liver fibrosis (F1‐F3) or those with no fibrosis (F0) with a significant difference (P < 0.05).