GPT and metabolic dysfunction-associated steatotic liver disease: In 126 patients with NAFLD whose GGT levels returned to normal after 12 months of treatment, only HOMA-IR normalization was a statistically significant factor influencing the recovery of ALT levels (OR = 5.50, 95% CI 1.59–18.98, P = 0.01) (Fig. 3d, Additional file 1: Table S9).