1. "Vitamin E" OR Tocopherol NEAR "α-Tocopherol" OR "γ-Tocopherol" 2. "Nonalcoholic Fatty Liver Disease" OR "NAFLD" NEAR "Non-Alcoholic Steatohepatitis" OR "Fatty Liver Disease" OR "Hepatic Steatosis" 3. Adults OR "Adult Patients" OR "Middle-Aged" 4. "Liver EnzymeS” OR "Alanine Aminotransferase" OR “ALT” OR "Aspartate Aminotransferase” OR “AST” OR "Liver Function Tests" 5. “Liver Histology” OR “Hepatic Steatosis” OR “NASH score” OR “Liver biopsy” OR "Fatty Liver" 6- #1 AND #2 AND #3 7. #6 AND #4 AND #5. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.