In previous reports on chronic viral hepatitis complicated with hepatocellular carcinoma, high dROM correlated with hepatitis C virus positivity and low albumin levels, which is a representative marker of decompensation of chronic liver disease [11]; however, in patients with NAFLD, no correlation was found with decompensation markers of chronic liver disease [12]. The gene discussed is ALB; the disease is metabolic dysfunction-associated steatotic liver disease.