In a recent cross-sectional study done on more than five thousand general adults of similar ethnicity and socioeconomic status with our study, prevalence of elevated ALT based on ACG values has been reported to be 17.7% in women and 27.3% in men16; hence, in our study, both the women with MS (RR [95% CI] 1.66 [1.29, 2.14], p < 0.001) and the men with MS (RR [95% CI] 1.56 [1.04, 2.33], p = 0.03) had an increased risk of having elevated ALT levels. The gene discussed is GPT; the disease is myeloid sarcoma.