Fatty Liver (NAFLD) and Great response to only 200Mg Test-C

[Marineman]

Curious as to how many out there over 40 have this. My liver values are always elevated and the VA has even sent me to have ultrasound on my liver to make sure things are A-OK. I had some lab work done yesterday and came back with the following "out of range":

Creatinine- 1.30 H (ref 0.60 -1.29)
Alkaline Phosphatase- 35 L (ref 36-130 U/L)
AST- 56 H (10-40 U/L)
ALT- 54 H (9-46 U/L)

I worked out pretty heavy and intense about 5 hours before this blood draw and was really only interested in my T and E labs from being on 200mg of Test-C per week for TRT. Pretty happy with those:

TESTOSTERONE, TOTAL-1159 H (ref 250-827) ng/dL
ESTRADIOL - 24 (ref </= 39 pg/mL)

test taken at 1100 Wednesday morning, typical regiment is .33 ml 200mg Test-C M,W,F morning. Did not pin until after blood draw.


I realize these liver values are hardly elevated and I don't have a history of being an alcoholic, abusing pills, or using orals. Wondering if this could be a side effect from the Crestor I take for my cholesterol or maybe it's just how my body is. I've had values like this for a quite a while now.

Curious how many out there also have NAFLD and what you do to "treat" it...or is this just something I put on my "pay it no mind" list.

The good thing is next month I have a physical with my non-VA PCP and he will do a full workup so I can see how the values are and discuss with him.

 

[sushak]

Retatrutide working wonders on nafld in trials if you are open to glp1s and their ilk

 

[OldGHGuy]

Those liver values are very easily caused by your intense workouts. If concerned, test your bloods next time after you take a week off lifting. Dime to a dollar everything is back "normal"

How Lifters Should Read Lab Results

Get your blood work done? Good. But as an athlete, there are some things you need to know – things your doc may not know. A 12 Inch Needle In My Liver I was 20 years old and in for a routine check-up that included some labs. At this point in life, I lifted weights six times a week. I assumed...

forums.t-nation.com

 

[clearheaded]

diet change is all they will really recommend. but the specialists aren't there to optimize. also drink more water.

the fact you have had these values for awhile sort of negates the heavy workout right before no?

they say aPOB is more important for risk than cholesterol. and most cholesterol pills give more side effects than they fix..

if ankles or hands etc are swollen then u def need to start to be much more concerned...

 

[clearheaded]

Retatrutide working wonders on nafld in trials if you are open to glp1s and their ilk

thats just because loosing mass in general will ALWAYS help liver #s. same with lower BG fluctuations

 

[OldGHGuy]

diet change is all they will really recommend. but the specialists aren't there to optimize. also drink more water.

the fact you have had these values for awhile sort of negates the heavy workout right before no?

they say aPOB is more important for risk than cholesterol. and most cholesterol pills give more side effects than they fix..

if ankles or hands etc are swollen then u def need to start to be much more concerned...

Even he's a regular, heavy lifter, the values will be constantly elevated. Docs dont even get concerned until those values are above 100 typically. 99% if he takes a week off and tests, they will be fine.

 

[Marineman]

No swelling of hands or ankles. I'm honestly not concerned and just wanted to see if anyone else experienced this. I did do like an hour of weights and 45 minutes of cardio at 5-7am and this was only 4 hours after. Come to think of it there is a good chance that every blood draw for the past 20 years I have worked out prior to because I work out...that's what I do lol

 

[Bumpygooch]

Mine are always higher than that by a bit. No liver supps ever worked. 5-6 days off from the gym and all my numbers are in range. I’ve had the ultrasound, nothing to see. The issue is always training, my CPK was over 1800,

 

[1cyclewonthurt]

NAFLD is highly unlikely unless you are highly obese with a diabetes mellitus or having a genetic predisposition (positive family history).
The chances are much higher of your slightly elevated "liver" enzymes to be the result of A. training before (muscle damage) or B. an i.m. injection (also muscle damage) or both. AST and ALT are both non-specific and can be found in muscle tissue.
A more specific test would be GGT as this enzyme is only found in the bile ducts of the liver. However, it can also be false-negative.
In the end, blood work will never tell the full story so further imaging would be needed but IMO you dont have to worry as NAFLD is rather unlikely in a trained, non-diabetic individual with reasonable body fat.

Further info:

AASLD Practice Guidance on the clinical assessment and... : Hepatology

An abstract is unavailable.

journals.lww.com

 

[PeterBond]

We measure creatinekinase (CK) in addition to markers of liver damage to better interpret mild elevations in the context of resistance exercise.

 

[Marineman]

Thanks everyone for the feedback.