Liver steatosis, transaminase levels, sex hormone disorders, and glucolipid metabolism were all found to be more severe in PCOS patients with obesity, as evidenced by the significant elevation in CAP, ALT, AST, TG, TC, LDL-C, TT, FAI, FIns, and HOMA-IR, and the significant decrease in HDL-C and SHBG levels in PCOS patients with obesity. Here, GPT is linked to obesity due to melanocortin 4 receptor deficiency.