High ALTD caused by fatty liver usually needs treatment, and patients can improve their condition through general treatment and medication according to the severity of the condition. 1. General treatment: Usually, elevated aminotransferase caused by fatty liver represents that the patient has liver function damage, if the patient is only mildly elevated, the patient should maintain a healthy diet, control the dietary calories, limit the intake of sugar, increase the intake of dietary fiber and water, and the patient should carry out reasonable exercise, avoid sedentary behavior, etc. At the same time, the patient should also avoid the use of hepatotoxic Chinese and western medicines, be cautious of the use of health care products, and give up smoking and drinking. At the same time, patients should avoid the use of Chinese and western medicines with hepatotoxicity, be careful with health care products, quit smoking and drinking. 2. Medication: If the patient belongs to severe elevation, and the general treatment is invalid, the patient can use hepatoprotective drugs such as diammonium glycyrrhizinate, silymarin, bisabolol, etc. under the guidance of doctor, and if the patient is accompanied by high blood fat, high blood sugar, and obesity, the patient can take drugs such as orlistat, resuvastatin, metformin, etc. to improve the conditions, etc. The patient is recommended to strictly comply with the doctor’s instructions. It is recommended that patients strictly follow the doctor’s instructions to use drugs, do not abuse drugs without authorization, in life to develop good habits, regular review.