GPT and steatosis: In this context, a recent systematic review followed by a meta-analysis (13), which included 18 RCTs on interventions with probiotic mix (intervention period ranged from 2 to 14 months), demonstrated the effectiveness of these interventions in reducing steatosis (assessed through ultrasound), showing a slight reduction in fibrosis (assessed through elastography), as well as a decrease in levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and gamma-glutamyl transferase (GGT).