GPT and inflammation: Notably, investigations revealed evidence of liver inflammation and/or fibrosis: 35% (15/43) had elevated ALT, 12% (5/43) had F3/4 fibrosis on transient elastography, 16% (7/43) had a Fib4 score between 1.45 and 3.25 indicating fibrosis stage 2-3, and 12% (5/43) had coarsened liver echotexture on ultrasound, indicating possible cirrhosis.