INS and metabolic dysfunction-associated steatotic liver disease: Liver biopsy, ultrasound, biomarkers, scores of fibrosis, and HOMA-IR are used to diagnose NAFLD and associated metabolic syndrome. Diet and lifestyle modification, insulin sensitisers, antioxidants, cytoprotective, lipid-lowering agents, bariatric surgery, and liver transplant are recommended based on patient condition [26].