The NAFLD group also had higher levels of BMI, waist circumference, platelet, aminotransferase, alkaline phosphatase, gamma glutamyltransferase, fasting triglyceride, total cholesterol, high-density lipoprotein cholesterol, fasting glucose, hemoglobin A1c, and fasting insulin levels. Here, INS is linked to metabolic dysfunction-associated steatotic liver disease.