NAFLD was discovered in 77% of the PCOS patients compared to 52.5 % of the controls, likely due to elevated serum TGs, alanine aminotransferase, and WC. FIB-4 Index did not correlate with advanced stage of fibrosis, whereas NAFLD score and TE showed some correlation (3.8% and 12% of patients, respectively). This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.