Genetic factors with great effect on IR (as a focal effect of NAFLD) and liver enzymes cause a disturbance in the normal function of the liver, which not only increases ALT and AST as the most specific factors, but also gamma glutamyl transferase (GGT), bilirubin, and ferritin (Croze & Soulage, 2013; Tabrizi et al., 2018). Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.