Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
Marked elevation in transaminase levels in you may be due to acute viral infection, drug induced hepatitis
, flare of autoimmune liver
disease. So for evaluation and management for these I will like to advise to visit a gastroenterologist
I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.