Shinozaki et al. [16] conducted a retrospective observational study in 38 patients with NAFLD for three months and demonstrated that pemafibrate (0.1 mg) twice a day significantly decreases the levels of ALT, GGT, and TG and the NAFLD fibrosis score [26] and increases the HDL-cholesterol level. This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.