GPT and celiac disease: In CD cases, the development of autoimmune and cryptogenic liver defects (having a positive response with GFD) ensues.8 Usually, the aminotransferase elevations are mild to moderate, mainly with a low AST/ALT ratio, and show huge manifestation variability.23 Some other studies documented ameliorated liver functions after the adoption of GFD.17 The possible mechanism is likely multifactorial, and gluten-induced damage to the gut lining could lead to elevated liver aminotransferases in celiac disease.8