Concordant with our results, a randomized clinical trial that evaluated the effects of 750 mg l-carnitine 3 times per day or placebo, in 60 type 2 diabetic patients with nonalcoholic fatty liver disease (NAFLD), reported that ALT and AST declined significantly in the intervention vs. the control group [26]. This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.