High transaminases caused by fatty liver should be adjusted in the diet structure, eat some light, nutritionally balanced food, and also take drugs to protect liver cells or lower fat, etc. Fatty liver is mainly caused by excessive accumulation of fat in liver cells. When there is too much fat in the liver cells, it will cause damage to the liver cells and lead to elevated transaminases. 1. Adjust the diet structure: patients should pay attention to their diet, eat more light and nutritionally balanced food, such as fresh fruits and vegetables, fish and shrimp, egg custard, etc., and avoid oily and high-fat food such as deep-fried and barbecued food. 2. Taking medication: Patients with fatty liver are usually accompanied by elevated serum triglycerides and total cholesterol, which can be reduced by taking lipid-lowering drugs such as simvastatin and pravastatin. Patients with high aminotransferases due to fatty liver can also take liver-protecting drugs such as reduced glutathione, silymarin, and vitamin C to promote liver cell repair and reduce aminotransferases. Patients with high aminotransferases caused by fatty liver are advised to consult a doctor in time and accept treatment actively, and the medication should be taken in strict accordance with the doctor’s instructions, and should not be used on its own, so as not to delay or even aggravate the condition.