GPT and obesity due to melanocortin 4 receptor deficiency: Compared with participants with a BMI of <23.0 kg/m2 in the non-BD category, those with obesity and in the HIBD group showed higher odds of elevated ALT (OR 3.88, 95% CI 3.52–4.27), AST (OR 4.04, 95% CI 3.75–4.35), and GGT (OR 3.83, 95% CI 3.56–4.13).