A study published lately demonstrated an independent and significant correlation between hyperuricemia and ALT level, even after adjusting for potential confounders [40], suggesting that insulin resistance, metabolic syndrome, and systemic inflammation might be caused by hyperuricemia, rather than a simple marker [40, 41], leading to steatohepatitis or even aggravating alcoholic or viral hepatitis [42]. Here, GPT is linked to hyperuricemia.