These include the NAFLD liver fat score developed in Finns (based on MetS, T2D, insulin, AST, AST/ALT) [9], the fatty liver index (FLI) in Italians body mass index (BMI), waist circumference, triglycerides (TG), γ-glutamyltransferase [10], the SteatotestR developed in French (12 variables in an undisclosed formula) [11],and the hepatic steatosis index (HSI) developed in Koreans (ALT/AST, BMI,T2D) [12]. Here, INS is linked to metabolic dysfunction-associated steatotic liver disease.