TNF and steatosis: The LFSD intervention group compared with the usual diet control group, significantly decreased ALT, TG, TC, FBS, insulin, HOMA-IR, hs-CRP, TNF-α, and NF-kb (P < 0.05). The LFSD group also reduced fibrosis score and steatosis score, with increased QUICKI compared to the control (P < 0.05).