Whether treatment is needed for high ALT and other tests are normal depends on the cause. If it is caused by physiological reasons, generally do not need treatment, if it is caused by diseases, such as drug liver injury, viral hepatitis, etc., need to take treatment. 1. Physiological causes: mostly seen in overwork, late night, drinking a lot of alcohol, etc., which will lead to temporary damage to liver function, thus causing high ghrelin, pay attention to rest, generally will gradually return to normal, do not need special medication. 2. Pharmacological liver injury: mainly caused by the drug itself or drug metabolites, you need to follow the doctor’s advice to stop using the suspected drugs or switch to other drugs, but also can be used at the same time to protect the liver medications such as silymarin and other drugs, the treatment effect may be better. 3. Viral hepatitis: In addition to taking hepatoprotective drugs such as compound glycyrrhizin and silymarin, viral hepatitis B also requires oral antiviral therapy, commonly used entecavir, tenofovir and so on. High alanine aminotransferase and other tests are normal, there may be heart, skeletal muscle and other diseases caused by aminotransferase elevation, it is recommended to clarify the cause of the disease to cooperate with the doctor’s treatment.