Glutathione 400 U/L is 10 times higher than the normal value, because glutathione should be 3-40 U/L when normal, so glutathione more than 10 times indicates more serious liver damage. Because ALT can be found in many organs, but most often in the liver, an elevated ALT indicates liver damage. When elevated transaminases are found, in addition to liver-protective and enzyme-lowering treatment, the cause should be identified and treated according to the cause. Common causes include drug-related liver damage, alcohol-related liver damage, viral liver damage, etc. For example, liver damage caused by viruses, the common one is hepatitis B virus. When hepatitis B virus causes liver damage, there can be two conditions: one is an acute infection; the other is an acute attack of chronic hepatitis. In case of acute attack of chronic hepatitis, HBV-DNA should be checked. if HBV-DNA is elevated, antiviral treatment should be administered, and antiviral treatment is the etiological treatment.