The first hit involves excessive hepatic steatosis associated with metabolic syndrome, which causes the liver to be vulnerable to any hit that may follow, including inflammation and oxidative stress, thereby leading to liver damage that is associated with increased blood levels of hepatic enzymes, such as aspartate aminotransferase (AST) and alanine aminotransferase (ALT) [4]. Here, GPT is linked to Hepatic steatosis.