Available serum based tests include the simple aspartate aminotransferase (AST) to alanine aminotransferase (ALT) ratio [7], the AST to platelet ratio index (APRI) [8], and the Fibrosis-4 score (FIB4)[9] to the more complex NAFLD fibrosis score (NFS) [10]. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.