Given that it has been shown to affect the presentation of NASH, we divided the population by gender [9]; women presented at an older age, were less likely to have an alanine aminotransferase (ALT) greater than 40 IU/L, more likely to have an NAS score indicative of active NASH (>4) and a biopsy consistent with advanced fibrosis. Here, GPT is linked to metabolic dysfunction-associated steatohepatitis.