GPT and Hepatic steatosis: 205 patients ≥ 18 years of age with a new diagnosis or reconfirmation of previously known fatty liver by imaging (ultrasound or CT or MRI) or by liver biopsy within ≤4 years, Fibroscan CAP score > 300db hepatic fat fraction ≥ 12% by MRI PDFF ALT ≥ 40 U/L