Did you workout before your blood test? (The week prior)
If you did your liver enzymes are possibly elevated due to your resistance training. If you want a true read take two weeks off from the gym and don’t lift a single weight. Then go get a blood test.
Are you drinking? No
Are you doing orals? No
Are you taking lots of NSAIDS Tylenol Advil etc? No
Do you have hepatitis/fatty liver/liver cirrhosis? No
If you answer No to all of these questions I wouldn’t sweat it. You can always ask your doctor for a liver ultrasound if you want to be extra careful.
To investigate the effect of intensive muscular exercise (weightlifting) on clinical chemistry parameters reflecting liver function in healthy men. Fifteen healthy men, used to moderate physical activity not including weightlifting, performed an 1 h ...
www.ncbi.nlm.nih.gov
I honestly do not understand how some people keep their liver counts in the 30's. Shit mine were in the fifties by the time I was 37 and only drinking a tadbit...
Might have been the deca but the story goes like this.
He did wind up having an ultrasound a few weeks after the blood work and it came back liver 20cm too long (THAT'S BIGGER THAN MY DICK!!/ but not by a hair LOL) and said probably fatty liver but could not be certain due to inflammation and could not rule out lesions was the translation I made hearing the radiologist report language.. Also said no gallstones, normal bile flow and duct diameter, and kidneys good. Could not see pancreas due to gas.
But seriously HOW THE FUCK DOES A LIVER GET TO BE EIGHT INCHES TOO LONG??? And I am assuming its proportionately that much bigger around as well Right??
He over-trains constantly for the past 3 years straight and I did read where muscle breakdown from training is related to these numbers. I also read where an alcoholic liver profile has a higher AST than ALT(or maybe I got that backwards).. He had been carrying numbers in the 70's for years just attributing to working out too hard and a few too many beers. Historically, I kinda suspect the numbers are a combination of training and drinking. And HE HAD been in TRAINING for A DRINKING Competition

.. But seriously I was just saying that I bet the numbers would look more like an alcoholic if not for working out bringing up the other number to match.
I don't think he's ever had hep . Would routine blood donations catch that???
He was also gobbling tylenol which he has since quit. And then there was that low dose Deca he started 3 weeks before those labs... You would be AMAZED the Damage I read that Nandrolone can do to a liver IF you are a rare case of extreme side effects. It reads worse than a 3 month Dbol party... He just did not think 150 mgs of deca on top of high TRT would have a negative effect.... Shit I would not think a low dose injectable like that could be so liver toxic. FUCK..
The funny part was the PAIN did not start until the blood work came in a few days later. He did not even suspect a liver issue the day the blood was drawn. And then it got worse and worse. He was telling himself there is no way its the deca cause they prescribe that shit for TRT as well. He quit EVERYTHING trying to convince himself it was not the deca. First the Tylenol as an obvious suspect. Next, even no beer for 10 days. Still hurt even worse. SO he finally trashed the deca and that resolved the pain over the next week or two. His liver still reports pain occasionally if he has too many beers a couple of days in a row. I think his liver is overdue for a long break.. Could be early cancer sign too It runs in his family. His liver ain't been up to snuff for about the past 15 years... He's going back for followup bloodwork soon.
And the saddest part of it all is that he would have never run it had it not been tossed in his lap. He sticks to testosterone by choice and the only reason he ran that stuff was cause someone got it from some chick that gave him her boyfriends steroids in exchange for pot - or some shit like that. Just a stupid fuking story. But, he knew him and he just gave it to my friend cause he didn't want it. I saw the vial and it did not even have a lid in place, but was correct fill height and reading still in date. The icing on the cake is for all he knew this pot-chick picked up one of her boyfriend's old vials and filled it with GOD knows what. Cause he was not getting the positive vibe and smooth joints that he recalled from his experience with MASSIVE doses when he tested that stuff over ten years back.. And back then he was not even training and running it at 600mgs for a month or two. It just made him feel so fukking good back then with no issues..
He's going back in for follow up blood work very soon and I AM SURE I will hear all about it.
There are several possible morals to this story building.
(1) Never take potentially liver toxic steroids on a drank up liver. Even if you recently ran something like trenE a year prior under the same conditions with no complaints. But maybe he's increased his daily alcohol intake since the tren he cant recall. BUT he is certain he was at about a 12pack a day at the time of these labs and issues/ and had been there a while. He says covid stress makes him drink like a FISH and he tells himself it helps to beat down viral activity. GO FIGURE..


IT SHOULD also be noted that the pain started with a weekend of some real hoppy-ass craft beer right at the time those labs were drawn... I suspect hops are toxic in large amounts personally. That's just me so I stay away from IPAs..
(2) Never accept Juice from sketchy pot chicks with bodybuilding boyfriends. Especially with the stopper cap already removed. There was some side story that came with that like, - "She said he wasn't mad I traded his test but he WAS PISSED about deca I gave you by accident".. All sounded real legitimizing the way the story went. I suspect she's a crafty little stoner and drug addicts are such a sorry bunch of habitual liars.. BUT who knows maybe this guy just cant take the deca any more...
(3) Stay away from illegal underground substance of all types especially when there is not way to confirm it's legitimacy.. And that would be easy enough if not for the fact that you can't even trust legitimate retail lines of ANYTHING these days without getting food poisoned or worse.. I MEAN DAYAM. All the steroid powder comes from China for GOD's SAKE. Hell, half the pharma drugs for that matter.
Shit China don't have to bomb us to win a war ALL THEY HAVE TO DO IS CUT OFF OUR DRUG SUPPLY and diabetics would be keeling over in the streets as US business ground to a screeching half with not an Adderall to be found.. FUCK..!
A final note and in my friend's defense. In terms of the quality of open market steroids, be they legit pharma or not, I personally have received more fukked up 1mg test vials from a grocery story pharmacy which will remain unnamed for now than you would believe. Most of which are crashed out in a way that leaves a thick hard clear glaze on the inside of the vial that you can't see till you pull it. More recently I got one that was appeared crashed out as under cooked or something with just a white haze that looked like raw powder throughout the suspension. But what can you expect for retail pricing at under 3bux/ml.... The child in me told me it was overdosed and to pin that shit. The adult in me made me take it back to exchange it... Sad world these days..
I'll post up again when he gets his next labs and doc chat..
And FYI
@Canknucklehead nice link on the article. Its crazy to think that working your balls off in the gym can be complicit in liver complications. I amazed the way these liver/gym related studies always describe the liver insult as "Falsely elevated". Its taking a toll else the numbers would not skew.. I suspect the potential damage from aggressive intentional dietary and metabolic changes is understated many times...