The normal ranges for glutamic and alanine transaminases are from 0 to 40 U/L, and transaminases of 128 U/L are moderately elevated, indicating moderate liver damage. Aminotransferase can be categorized into alanine aminotransferase and glutamic aminotransferase, the normal range of glutamic aminotransferase and glutamic aminotransferase is 0-40U/L. If liver function is impaired, the aminotransferase may be elevated, which is usually due to cirrhosis of the liver, viral hepatitis, fatty liver disease, alcoholic liver disease, or even liver cancer and other diseases. 1. Viral hepatitis: the cause of this disease may be hepatitis B or C destroying liver cells and releasing transaminases into the blood. Entecavir can be used as antiviral for the treatment of hepatitis B. 2. Non-alcoholic fatty liver disease: This disease is usually caused by a large accumulation of fat in the liver cells leading to liver damage and the release of transaminases into the blood. In simple fatty liver disease, medication is usually not needed. Exercise and diet control are sufficient. 3. Alcoholic Liver Disease (ALD): Excessive alcohol consumption damages liver cells and causes the release of transaminases into the bloodstream. Quitting drinking is a necessary measure. Under the guidance of doctors, take liver-protecting drugs such as polyenophosphatidylcholine and reduced glutathione, and hormones such as prednisone can be used when the condition is serious. In addition, diseases that cause elevated transaminases include liver cancer, cirrhosis, and drug-induced liver injury. It is recommended to go to the hospital in time to clarify the cause of the disease and take treatment under the guidance of the doctor.