Pentoxifylline can decrease the AST (Aspartate aminotransfrase) and ALT (Alanin aminotransfrase) levels and its anti-TNF-α effect also improves symptoms of liver tissue in patients with NALFD (Non-alcoholic steatohepatitis)/NASH Non-alcoholic fatty liver disease (43). Here, TNF is linked to metabolic dysfunction-associated steatotic liver disease.