Interestingly, one 9 year-old obese Latina girl with dyslipidemia and pre-diabetes HgbA1C of 6.0 was clinically diagnosed with NAFL based on increased transaminases (ALT 143 U/L, AST 88 U/L, GGT 99 U/L) and steatosis on ultrasound. Here, GPT is linked to metabolic syndrome.