No differences were noticed regarding the study’s primary and secondary outcomes (clinically significant decrease in alanine aminotransferase levels and significant improvements in liver stiffness, NAFLD fibrosis score and gamma-glutamlyl-transpeptidase values) between the MD and ML groups, except that after controlling for baseline values and the proportion of weight loss-patients, the ML group tended to have a higher likelihood of halving their ALT levels compared with the MD group, though not significantly so (OR = 0.27; 95% CI, 0.07–1.03). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.