Gene‐expression changes associated with NAFLD/NASH development were observed, including increased expression of genes associated with insulin resistance (e.g., IGF1, IGFB139), glucose metabolism (e.g., G6PD,40 PDK441), and lipid metabolism (e.g., FABP5,42 LPL43). Here, IGF1 is linked to metabolic dysfunction-associated steatotic liver disease.