Because common single-nucleotide polymorphisms (SNPs) within the PEMT locus have been associated with risk of developing liver dysfunction in response to a choline-deficient diet [9,22] and susceptibility to NAFLD [20], including NAFLD in lean individuals [21], we investigated the association between three of the previously studied common SNPs (rs3760188-C/T, rs4646365-T/C, and rs7946-T/C) and hepatic fibrosis in our cohort. Here, PEMT is linked to metabolic dysfunction-associated steatotic liver disease.