Similarly, treatment with Moringa oleifera prevented liver damage and nonalcoholic steatohepatitis (NASH) progression via SIRT1 upregulation and miR-21a-5p, miR-103-3p, miR-122-5p, and miR-34a-5p downregulation [91]. This evidence concerns the gene SIRT1 and metabolic dysfunction-associated steatohepatitis.