Aminotransferases over 60 U/L need to be reviewed. For transaminases, such as glutamic aminotransferase and glutamic oxalacetic aminotransferase, which are mainly present in liver cells, a variety of transaminases can be elevated when liver cells are damaged due to a variety of factors (hepatitis virus, alcohol, toxins, drugs, etc.). The upper limit of the normal reference range for aminotransferases is basically about 50 U/L. Aminotransferases of more than 60 U/L are above the upper limit of the reference range. When elevated transaminases occur, treatment is needed to address the cause and, if necessary, liver-protective therapy. After treatment, retesting is needed to avoid further aggravation of large liver function abnormalities.