GPT and Hepatic fibrosis: Patients diagnosed with diabesity had a higher risk of developing liver fibrosis when their levels of certain liver enzymes were elevated: ALT (RR 2.47; 95%CI 1.67–3.66), AST (RR 2.07; 95%CI 1.34–3.22), and GGTP (RR 1.78; 95%CI 1.14–2.79).