INS and metabolic dysfunction-associated steatotic liver disease: Insulin resistance (IR) is one of vital pathologic manifestation in NAFLD progression.[6] Hence, current conventional medications toward NAFLD includes insulin sensitizers, vitamin E, polyene phosphatidyl choline, silymarin, and so on.[7–9] However, none of these agents was officially approved for NAFLD.[7–9] Consequently, many clinicians and patients would consider complementary and alternative interventions, in which acupuncture is one of the main therapies.