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. The gene discussed is GPT; the disease is metabolic dysfunction-associated steatohepatitis.