GPT and metabolic dysfunction-associated steatotic liver disease: Once other causes of chronic liver disease are excluded, non-alcoholic fatty liver disease is the cause of asymptomatic elevations of aminotransferase levels in 90% of cases [20] and magnetic resonance spectroscopy quantified liver fat content correlates with ALT concentrations in non-RA subjects (r = 0.4 to 0.6, p < 0.001) [22].