The prevalence of NAFLD in rural and urban areas in Pakistan among lower, middle, and higher societies were 9, 15, 27%, and 21, 27, 42% respectively reflecting the effects of industrialization and urbanization on higher prevalence of fatty liver in urban higher societies.77 The prevalence of NAFLD in patients with type-2 DM and MS in Pakistani population was found to be 72.4%.78 A study by Niaz et al79 showed that 13.5% of study population had elevated ALT level of unknown etiology and found to have NAFLD. Here, GPT is linked to Hepatic steatosis.