BMI, WC, WHR, SBP, DBP, FBG, two-hour glucose (2hGLU), FIN, HOMA-IR, TG, ALT, and AST levels significantly decreased in the following order: group PCOS with NAFLD > group PCOS without NAFLD > control group (p < 0.05). The gene discussed is GPT; the disease is metabolic dysfunction-associated steatotic liver disease.