A recent meta-analysis from 1555 NAFLD patients showed that administration of probiotics had beneficial effects on BMI, alanine aminotransferase, aspartate transaminase, gamma-glutamyl transpeptidase, insulin, homeostasis model assessment-insulin resistance and total cholesterol but not on fasting blood sugar, lipid profiles and TNF-alpha [88]. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.