After adjusting for a spectrum of relevant covariates including age, sex, race and ethnicity, education level, smoking status, daily eating frequency, BMI, diabetes, hypertension, serum uric acid group, ALT, AST, HDL, and serum uric acid, the substantial association was solidified, providing compelling new evidence for the growing concern surrounding NAFLD. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.