“…This enzyme is normally present in the serum and on the outer surface of numerous cell types (Baduwal et al, 2020; Dominici et al, 2005; Onat et al, 2012), and serum GGT is especially active in the proximal renal tubule, pancreas, and intestine, but primarily in the liver. Changes in serum GGT levels can be affected by all the following; waist circumference and body mass index (Sakamoto et al, 2013), hypertension (Bonnet et al, 2017; Celik et al, 2010; Cheung et al, 2011; Kunutsor, 2016), diabetes mellitus (Choi et al, 2020; Nguyen et al, 2011; Wang et al, 2020), hyperuricemia (Nakamura et al, 2012; Tekeli et al, 2021), metabolic syndrome (Franzini et al, 2017), and genetic factors (Paulusma et al, 2010). In addition, heritability estimates for GGT in adults range from 30% to 69% depending on gender and age (Pilia et al, 2006; Rahmioglu et al, 2009; van Beek et al, 2013; Whitfield et al, 2002).…”