Serum alanine aminotransferase (ALT) level is the most specific indicator for monitoring liver injury.[12] Multiple studies have demonstrated that elevated ALT levels are associated with increased liver-related mortality.[18,19] Elevated ALT is common among HIV/AIDS patients; however, approximately half of HIV/AIDS patients receiving antiretroviral therapy are asymptomatic,[20] which often leads to insufficient attention from clinicians. Here, GPT is linked to AIDS.