TNF and metabolic dysfunction-associated steatotic liver disease: bulgaricus and Streptococcus thermophiles, as well as the supplementation of a mixture of six probiotics (L. acidophilus, L. rhamnosus, L. paracasei, Pediococcus pentosaceus, B. lactis, and B. breve) can have beneficial effects on patients with NAFLD, by modifying the GM composition, and reducing inflammation (decrease TNFα expression) and lipid metabolism (decrease total cholesterol and triglycerides) [176,177].