Fatty liver can lead to elevation of transaminases. Patients with fatty liver can have normal liver function, and as the degree of fatty liver increases, liver function impairment can occur, manifested by predominantly elevated glutamic aminotransferase, and mildly elevated alkaline phosphatase and transpeptidase. In the case of alcoholic fatty liver, elevated glutamic transaminase is predominant, with a ratio of glutamic transaminase to glutamic aminotransferase >2, and significantly elevated alkaline phosphatase and transpeptidase. Elevated transaminases in fatty liver can be treated with hepatoprotective drugs to improve lipid metabolism and protect hepatocyte membranes, such as the application of glycolic tablets, silymarin, polyenyl phosphatidylcholine, etc. The treatment of fatty liver should remove the causes, such as alcohol-induced fatty liver should pay attention to abstain from alcohol, drug-induced fatty liver should stop using suspicious drugs, diabetes-induced fatty liver should control blood sugar, hyperlipidemia needs lipid-lowering treatment. If the transaminases are elevated, you can not apply lipid-lowering drugs, because lipid-lowering drugs can also have a certain degree of liver damage, other balanced diet, appropriate exercise exercise, not too strenuous, especially when the transaminases are elevated, exercise should be gradual, persistent.