Whether or not the alanine aminotransferase 118 U/L is above the normal range and serious should be judged according to the cause of the disease. If it is caused by physiological factors such as staying up late or drinking alcohol, it is generally not serious, while if it is caused by diseases such as viral hepatitis, it is relatively serious. The normal value of ALT is less than 40U/L, so 118U/L is higher than the normal range, which may be caused by staying up late, drinking alcohol, or taking certain drugs, or viral hepatitis. 118U/L is more than twice the normal value of ALT, so it needs to be treated with hepatoprotective drugs. For the elevation caused by staying up late and drinking alcohol, life habits should be improved in the treatment, and vitamin B, vitamin C, coenzyme A and other drugs can be taken for treatment; for the elevation caused by taking medications, drugs such as reduced glutathione can be used for treatment, and for the elevation caused by viral hepatitis, drugs such as entecavir, compound glycyrrhizin tablets, magnesium isoglycyrrhizinate can be used for treatment. If the examination found that the glutathione 118U/L, it is recommended to consult a doctor to identify the cause and ask the doctor to dispose of it.