GPT and metabolic dysfunction-associated steatotic liver disease: In a previous study performed in the general US population, Singh et al. found that awareness of liver disease was extremely low among individuals with suspected NAFLD (defined as a BMI ≥ 25 kg/m2 and elevated ALT levels), with an increase from 1.5% to 3.1% from 2001–2004 to 2013–2016 [8].