INS and metabolic dysfunction-associated steatotic liver disease: Mazo et al. [23] discovered that although HT was positively correlated with insulin levels (correlation index [r] = 0.213; p = 0.03), homeostasis model assessment for insulin resistance (HOMA-IR) index (r = 0.221; p = 0.02), aspartate aminotransferase (AST) (r = 0.234; p = 0.01), and triglyceride (r = 0.233; p = 0.01) levels in patients with NAFLD; there was no significant correlation (p > 0.05) between HT and occurrence of NASH among patients with biopsy-proven NAFLD.