This fact was corroborated by Tomizawa et al (2014) that showed that AST and ALT were significantly higher in patients with NAFLD compared to those without NAFLD (P = 0.0001) [27] and also by this study, which found a significant association of AST and ALT levels with increased ultrasound degrees of hepatic steatosis. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.