Indeed, Prati and colleagues [39] reported that most patients with non-alcoholic fatty liver disease or chronic asymptomatic hepatitis C virus infection have ALT concentrations that are within currently recommended reference ranges, and showed that a reduction of upper limits for ALT to 19 u/l in women and 30 u/l in men increased the sensitivity in identifying hepatitis C viremia from 55% to 76% with an acceptable reduction in specificity from 97% to 89%. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.