Two other scores include the NASH Clin Score obtained by the combination of aspartate aminotransferase (AST) and fasting insulin plus genetic data (rs738409 genotypes) [13], and the NASH ClinLipMet Score that is the NASH Clin Score with the addition of circulating metabolites such as glutamate, isoleucine, glycine, lysophosphatidylcholine, and phosphoethanolamine [13]. The gene discussed is INS; the disease is metabolic dysfunction-associated steatohepatitis.