It is biologically plausible that the thyroid axis plays an important role in NAFLD development, as thyroid hormones (TH) are crucial in the regulation of numerous metabolic processes, such as cholesterol and lipid metabolism and intra-hepatic concentration, circulating lipoprotein levels, body weight, and insulin resistance [117,118,119,120]. Here, TH is linked to metabolic dysfunction-associated steatotic liver disease.