GPT and metabolic dysfunction-associated steatotic liver disease: Epidemiological evidence on the link between EDC exposure and NAFLD is scarce and mostly limited to cross-sectional studies in adults11,13,14 and a few studies in children.15,16,17,18 Previous studies of children16,17,18,19 relied on NAFLD assessment of serum levels of liver enzymes (eg, alanine aminotransferase [ALT]) that are established biomarkers for pediatric liver injury and NAFLD screening.