Should I be worried? Liver test results pre second cycle

[Bigbicep]

Hey guys, should I be worried about my liver tests? These are my tests from before I started my second cycle so at this point iv never had orals. My endo said they were high but I didn’t get a chance to talk to her properly about it till 6 months later and she did another test and said they were still high. I don’t have access to the test results yet but these are from April. She booked me in to get a liver ultrasound so I’m gonna hold off starting my next cycle till I get my results back. (My next cycle is going to be test only) so not worried about liver

 

[Eddie.]

These numbers are ok when you're running orals, with no orals in place i'd say they're definitely high. Most of the times they get elevated if you train hard, but i'd say that's normal for high end double digit numbers and you're way off of that.

Let me get this straight, these results are from April? And now you've done extra bloodwork which you haven't seen yet but your endo is worried about the outcome? Or you mean she run second time your first blood sample from April and the results are the same?

In your past cycles with orals did you take any liver protection? Are you taking currently?

(My next cycle is going to be test only) so not worried about liver

Funny, i just saw your other post saying you're gonna start with test and d-bol preworkout and then add mabey NPP, mabey primo..In my opinion get your shit together, make a plan and follow it because it seems you don't know what you actually wanna do. This is not like going to a restaurant not knowing what to order before you see the menu..

 

[OldGHGuy]

My AST ALT numbers are always 15-20% over the "normal" reference range from heavy workouts but your numbers are somewhat higher than that. Not alarming but worth getting checked out before you proceed.

 

[Spaceman Spiff]

Liver enzymes are not ok for a guy in their 20s.

Funny, i just saw your other post saying you're gonna start with test and d-bol preworkout and then add mabey NPP, mabey primo..In my opinion get your shit together, make a plan and follow it because it seems you don't know what you actually wanna do. This is not like going to a restaurant not knowing what to order before you see the menu..

gonna second this

 

[Bigbicep]

These numbers are ok when you're running orals, with no orals in place i'd say they're definitely high. Most of the times they get elevated if you train hard, but i'd say that's normal for high end double digit numbers and you're way off of that.

Let me get this straight, these results are from April? And now you've done extra bloodwork which you haven't seen yet but your endo is worried about the outcome? Or you mean she run second time your first blood sample from April and the results are the same?

In your past cycles with orals did you take any liver protection? Are you taking currently?



Funny, i just saw your other post saying you're gonna start with test and d-bol preworkout and then add mabey NPP, mabey primo..In my opinion get your shit together, make a plan and follow it because it seems you don't know what you actually wanna do. This is not like going to a restaurant not knowing what to order before you see the menu..

Yea so these are April results. I can’t see my new results for 7 days because it’s a medical rule or something, and yes the plan was test and dbol pwo some days. Then eventually add in something else but with liver like that I’m obvs not going to be doing any river toxic stuff. And my history with orals is nothing major. Ran 10mg of dbol for around 8-12 weeks after those April bloods but nothing prior. Also would like to add those bloods were a few weeks post PCT so could be the nolva or something? And also I finished my pct about 3 weeks ago before the bloods I got yesterday. Could it be the nolva

 

[Bigbicep]

I’m trying to think what would have caused it and I have no idea unless it was the nolvadex from my PCT. After each cycle it was a 40/40/20/20 PCT. Not sure how much that would affect my liver but yea. Anyway I’m getting a liver ultrasound tomorrow so we will see

 

[Bigbicep]

I’m going to also add.. no I don’t drink alcohol.

 

[Spaceman Spiff]

I’m trying to think what would have caused it and I have no idea unless it was the nolvadex from my PCT. After each cycle it was a 40/40/20/20 PCT. Not sure how much that would affect my liver but yea. Anyway I’m getting a liver ultrasound tomorrow so we will see

arent you cruising on test or something?

maybe I misread

 

[Bigbicep]

arent you cruising on test or something?

maybe I misread

I was after the cycle, then I came off and did a PCT around just under 2 months before I went to see my endo cus she was going to check my bloods. Everything was in range except my liver

 

[Spaceman Spiff]

is there any reason you see an Endo? thats not typical for man in their 20s

 

[buck]

My liver enzymes were elevated for 30 years from training as well as from the large amount of protein i was eating which can make a difference as well and no Dr was worried . But my results were not as high as yours. I would look into why they are that high if you are concerned with long term health.

 

[Eddie.]

These are mine after 18 weeks of Test+Primo and 7 weeks of 40mg anavar. I was taking NAC from the day i started anavar.

In your case i would worry not by the numbers solely but why are there still elevated after that long of not taking orals. I'd suggest checking for NFALD.

 

[BP_6]

Those are high values without any orals and not drinking. Are you taking any other drugs that cause liver stress? Anything containing paracetamol?

I always had higher than normal liver values because of orals and working out all the time and my doc made me go get this new liver test called a FibroScan. It showed my liver if 0 is the best and 5 is full cirrhosis, I was a 1 and my liver fat was lower than average and excellent. So the doctor said it was likely due at least partially to me working out a lot.

 

[Bigbicep]

is there any reason you see an Endo? thats not typical for man in their 20s

I have growth hormone deficiency. So I’m prescribed hgh and get a check up every 6 months

 

[Bigbicep]

Those are high values without any orals and not drinking. Are you taking any other drugs that cause liver stress? Anything containing paracetamol?

I always had higher than normal liver values because of orals and working out all the time and my doc made me go get this new liver test called a FibroScan. It showed my liver if 0 is the best and 5 is full cirrhosis, I was a 1 and my liver fat was lower than average and excellent. So the doctor said it was likely due at least partially to me working out a lot.

Yes actually. But it was awhile ago. Like a year ago or so I was taking heaps of Panadol everyday. I was getting my wisdom teeth removed because they were giving me the worst miagranes. But that was a long time ago. I hope it didn’t give me long lasting damage.

 

[snowman96]

Your growth hormone deficiency combined with HGH-intake is probably the reason for your high Alk. Ph.! There are many studies on this subject on adults with GH-deficiency, who then got prescribed HGH, and in this study, the Alk.-Ph.- values rised. So this would already explain the high Alk. Ph. - value, which has in this case nothing to do with your liver.
And the other two liver-values are always higher, when you have trained some days before the blood-test.
So I think, you dont have to worry that much, and it is more important to get the GGT-value, which is not influenced by training and HGH, and which is the best indicator for liver-health of them all.

 

[Bigbicep]

Your growth hormone deficiency combined with HGH-intake is probably the reason for your high Alk. Ph.! There are many studies on this subject on adults with GH-deficiency, who then got prescribed HGH, and in this study, the Alk.-Ph.- values rised. So this would already explain the high Alk. Ph. - value, which has in this case nothing to do with your liver.
And the other two liver-values are always higher, when you have trained some days before the blood-test.
So I think, you dont have to worry that much, and it is more important to get the GGT-value, which is not influenced by training and HGH, and which is the best indicator for liver-health of them all.

Thanks man. This makes me feel better ahaha I hope so. We will see tomorrow at my ultrasound

 

[forhealth87]

Maybe I can contribute with my own experience, my ALT and AST were twice ref. range on TRT levels and first I was pretty confused. They were in normal range in past.

I was ill for a week and could not workout, meanwhile read about the enzymes and possible other reasons why they could be elevated. I had an abdominal ultrasound just some weeks before and everything looked very good.

Long story short, I took bloods after the week where I did no workout and everything was in range again. The enzymes also have activity in skeletal muscle tissue for example.

So I am kind of asking myself if you can even say orals are hard on the liver when you just check for ALT and AST for example. You for sure need more indiacators to judge on your liver health.

 

[MyNameIsJeff]

Your values are too high to be wholly exercise-induced (See Exercise-induced increases in “liver function tests” in a healthy adult male: Is there a knowledge gap in primary care? - PMC). See how the liver ultrasound looks, and then get blood work again after 7 days of abstaining from exercise.

 

[bigMoJo]

Yes actually. But it was awhile ago. Like a year ago or so I was taking heaps of Panadol everyday. I was getting my wisdom teeth removed because they were giving me the worst miagranes. But that was a long time ago. I hope it didn’t give me long lasting damage.

Agree with everyone here. To add, yes, for 20 old those are high liver #'s for not drinking and no oral anabolics. However, just about anything you take is going to affect liver enzymes, even more so if you have NAFLD... medications (e.g. tylenol), supplements (e.g. iron), fast & ultra-processed foods.

However, your blood lab also shows a favorable GGT level. GGT is another marker to assess liver damage. At that level, you can rule out cirrhosis... that's good news.

Likely something in your diet and training is causing the elevated numbers.