The NAFLD Liver Fat Score developed by Kotronen et al. [9], which is based on the presence of the metabolic syndrome and type 2 diabetes (dichotomous variables) in addition to insulin, AST, and the AST/ALT ratio, predicted NAFLD with an AUROC of 0.82 in our study population, even though individuals with diabetes were excluded from our study. This evidence concerns the gene INS and metabolic dysfunction-associated steatotic liver disease.