Another study involved Nine hundred and twenty adults randomly selected from the government’s census database and underwent proton-magnetic resonance spectroscopy to assess hepatic steatosis showed that NAFLD patients had slightly higher lipopolysaccharide-binding protein (LBP) endotoxin markers associated with insulin resistance and dyslipidemia and that people with modest alcohol consumption have lower serum endotoxin (83). This evidence concerns the gene LBP and metabolic dysfunction-associated steatotic liver disease.