Moon et al. reported a significant association between mean lumbar BMD and NAFLD in postmenopausal subjects after adjusting for age, body mass index (BMI), alanine aminotransferase (ALT), smoking status, and alcohol consumption, and they concluded that postmenopausal women with NAFLD had an increased risk of osteoporosis [1]. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.