Elevated Liver Enzymes Post Cycle

Hey guys. I finished my first cycle last August and PCT by sometime in September. I had blood work done during the cycle and the only thing that came back abnormal besides my hormone levels was my AST level at 42 (upper limit is 40).

I didn't get post cycle bloods until this past week and it showed I did recover but my AST is still at 42 and my ALT is at 87 (upper limit is 40).

My dad is a physician and I asked him about this - he does not know I did a cycle and thinks I had bloods drawn for another reason. He said these things fluctuate from time to time, said the levels were not really out of control anyways, and that i shouldn't worry and just have them repeated in a week.

My cycle was 500mg TE and 300mg EQ each week for 12 weeks. I used .5mg ED of Aromasin. PCT was 60 Torem and 50 Clomid for 4 weeks. The only other supps I use are a multivitamin, Vit C, Vit D, Fish Oil, BCAA's and Creatine.

I mean, shouldn't the levels have normalized by now? I never had any symptoms of any issues during or post cycle.

I know that the SERMs are hepatically metabolized and have a very long half life. Could this just be residual from the SERM use? I don't really drink that much or do anything else that should tax the liver. Is it more likely that this is related to my cycle or to something else?

There are so many factors but they are probably elevated from your cycle, etc. Those are not bad numbers and your dad is right, they fluctuate. Mine have been higher and I was able to bring them down to the low end of the range. I seem to think the arimidex was causing my values to be elevated and I am on testosterone replacement therapy (TRT). Once, I switched to aromasin, they dropped. So as for you, it is always good to run some LiverCare made by Himilaya. Run one bottle and I guarantee you that those liver values will be lowered drastically. Don't sweat them in the meantime though. It happens. Additionally, when you blood test, make sure you haven't done any strenuous lifting or working out for at least 4-5 days prior to blood testing. Also, make sure you clean up the diet if you haven't already and cut out any booze if you are drinking any. Good luck.
 
An ALT of 87 is not high? Then what is considered high?

When I was on 500mg test + 50 mg Anavar (var) my AST/ALT went into the 80's and the doc was wanting to come back and do a retest. Definitely did not say, nothing to be alarmed about. Though I waited about 4-6 weeks after the cycle and got tested again and they came down to AST 39 and ALT 44.
 
take 2 days off of cardio and weightlifting before the next test and DONT use alcohol or tylenol for several days before going in on a empty stomch to have blood drawn.
 
Hey guys. I finished my first cycle last August and PCT by sometime in September. I had blood work done during the cycle and the only thing that came back abnormal besides my hormone levels was my AST level at 42 (upper limit is 40).

I didn't get post cycle bloods until this past week and it showed I did recover but my AST is still at 42 and my ALT is at 87 (upper limit is 40).

My dad is a physician and I asked him about this - he does not know I did a cycle and thinks I had bloods drawn for another reason. He said these things fluctuate from time to time, said the levels were not really out of control anyways, and that i shouldn't worry and just have them repeated in a week.

My cycle was 500mg TE and 300mg EQ each week for 12 weeks. I used .5mg ED of Aromasin. PCT was 60 Torem and 50 Clomid for 4 weeks. The only other supps I use are a multivitamin, Vit C, Vit D, Fish Oil, BCAA's and Creatine.

I mean, shouldn't the levels have normalized by now? I never had any symptoms of any issues during or post cycle.

I know that the SERMs are hepatically metabolized and have a very long half life. Could this just be residual from the SERM use? I don't really drink that much or do anything else that should tax the liver. Is it more likely that this is related to my cycle or to something else?
Neither AST or ALT should be elevated 6 mo later. Your AST isn't horrible, but your ALT is insane for being off cycle this long. You also do not appear to be taking anything currently that would explain these levels.

Hate to even mention bro... but have you ever been tested for hepatitis? It is much more common than anyone realizes. Raised ALT is a primary indicator of Hep A, B, C & fatty liver. Of course these are not the only causes, but in this worse case scenario catching it early can prevent significant damage.

Do you have any previous labs to compare with? That may help you determine if the issue existed previous to your cycle.
 
An ALT of 87 is not high? Then what is considered high?

When I was on 500mg test + 50 mg Anavar (var) my AST/ALT went into the 80's and the doc was wanting to come back and do a retest. Definitely did not say, nothing to be alarmed about. Though I waited about 4-6 weeks after the cycle and got tested again and they came down to AST 39 and ALT 44.

Well technically it is considered high but they fluctuate so much. Someone with Hepatitis can have it all the way in the 300-400's. I definitely think he should get on some Liv-52 but there are just so many things that can factor in to the liver. He may be off cycle but he may not get enough water, may lift really heavy, may be popping a lot of different natural supplements, tylenol, etc. The bottom line is the liver is one of the most resilient organs we have in our bodies. I mean, it is good to be aware of what is going on in our bodies, but sometimes, I think we freak out too much about some elevations. Now, if he runs a course of LiverCare for a whole month and retests and they are still high, then I would evaluate a little further. Hopefully his diet is pretty clean as well.
 
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Im 23 and 10st i struggle massively to gain size or weight for that matter, thinking about taking my first ever course, been advised to take test 400. Whats your advice guys??
 
Im 23 and 10st i struggle massively to gain size or weight for that matter, thinking about taking my first ever course, been advised to take test 400. Whats your advice guys??

start your own thread AFTER you read all the stickies at the top of the anabolic forum page.
 
Im 23 and 10st i struggle massively to gain size or weight for that matter, thinking about taking my first ever course, been advised to take test 400. Whats your advice guys??

My advice is to start a new thread. People will be able to help you out better if you do.
 
Man dude, why did you have to say hepatitis???

This has got me all freaked out now!!

On 6/11, Alkaline phosphatase was 76, AST was 42 (2 pts high) and ALT was 45

On 1/29 Alkaline phosphatase was 80, AST was 42 (2 pts high) and ALT was 87 (upper cut off is 44)

I really don't do anything that would hurt my liver. I have been too busy with school to work out much lately. I'm min a monogamous relationship right now and have only had sex with one other girl. I rarely drink. I rarely take tylenol... I take advil if there is a problem unless I don't have it.

So no crazy cardio or exercise, no weird supplements. I started lifting again this week and take a multivitamin, creatine, D-aspartic acid, whey protein, Fish oil (disputed whether they can raise AST/ALT), BCAA's, Glutamine, beta alanine and the preworkout from optimum nurtition. That is it.

I was on Ritalin SR for the first part of January. I do not take any other medications.

I have gained some weight, maybe 10 pounds over the holidays and my diet got a little out of control. But that is it.

The last girl I had sex with was in 2009. I have never done anything like share needles, have gay sex, or use any recreational drugs outside of the one cycle and a brief cycle of melanotan I last spring. I would think I would have become symptomatic if there was a big problem and I don't really have symptoms.

Alright here is my suggestion. And don't freak out about this bro. I promise things are fine. Just get off all supplements. Get your nutrients and proteins from food only. Balance your blood sugar by eating every 2-3 hours. Drink plenty of water and take a bottle of LiverCare by Himilaya. Also, just an FYI, Ritalin can elevate liver enzymes in some people. That might be your problem. Just get off everything except the LiverCare capsules. Run it 1 month and then retest and see where you stand. You should be fine. A lot of people have elevated enzymes but not many people test them and know about it.
 
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Man dude, why did you have to say hepatitis???

This has got me all freaked out now!!

On 6/11, Alkaline phosphatase was 76, AST was 42 (2 pts high) and ALT was 45

On 1/29 Alkaline phosphatase was 80, AST was 42 (2 pts high) and ALT was 87 (upper cut off is 44)

I really don't do anything that would hurt my liver. I have been too busy with school to work out much lately. I'm min a monogamous relationship right now and have only had sex with one other girl. I rarely drink. I rarely take tylenol... I take advil if there is a problem unless I don't have it.

So no crazy cardio or exercise, no weird supplements. I started lifting again this week and take a multivitamin, creatine, D-aspartic acid, whey protein, Fish oil (disputed whether they can raise AST/ALT), BCAA's, Glutamine, beta alanine and the preworkout from optimum nurtition. That is it.

I was on Ritalin SR for the first part of January. I do not take any other medications.

I have gained some weight, maybe 10 pounds over the holidays and my diet got a little out of control. But that is it.

The last girl I had sex with was in 2009. I have never done anything like share needles, have gay sex, or use any recreational drugs outside of the one cycle and a brief cycle of melanotan I last spring. I would think I would have become symptomatic if there was a big problem and I don't really have symptoms.
Sorry about the hep scare bro, but the chances are good it's not going to be hep since you were in a reasonable range beforehand. The bad news is hep can lie dormant for years & years before there is ever a sign.

You were slightly high prior and the cycle blew up your ALT, so you have an issue or are taking something that is causing this increase. It could be anything from pain killers to supps to a virus to hard living in previous years. You sound younger so you shouldn't have had the time to naturally destroy it.

Like some others here I am also a fan of Liv 52 and know for a fact it works, but I use it to keep enzymes in check when the reason for an increase is known. If you cannot explain a reason for the increase, Liv 52 will simply mask the symptoms and you could potentially cause yourself significant harm.

I would drop everything you're taking for at least 1-2 wks and drink water daily until you can't drink anymore. A good liver cleanse may also help. Tell your doc there's no explantion for the elevated levels, you're concerned and want complete liver testing including hep.

The issue you have is that technically AST/ALT are not indicators of function, but instead they are indicators of damage. In other words they are saying your liver is damaged, the question is why?
 
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Unfortunately I don't think anybody else here is going to have any more answers. You're just going to have to stick with your GI and have them run more tests on you. I don't know why he wasn't concerned though, when I was on cycle and got tested at my GI my liver values were in the 80's and they called me and expressed concern and I told them I was on testosterone replacement therapy (TRT) and I would adjust my medication and so they said to come back in 6 weeks, by then I was off the cycle and test results came in normal. They had said if it didn't come in normal then they would do further tests like hepatitis test etc.

Maybe get a second opinion from another GI. If he wasn't worried at all, and asked you to come back in a few months that seems like a long time. Though, I don't know what he saw in your tests and which tests he did exactly maybe everything on those tests came out fine except for AST/ALT so that's why he's not concerned. Maybe that's not a huge deal then, I don't know. Did you ask him, why does he not seem concerned? Maybe you should have asked him that if it's worrying you so you can get some insight and maybe there's a reason or something he knows from the tests which is the reason for him not being worried.

On a side note, I've been researching this supplement called, "Synthergine" you can google it. It's the only supplement I've seen online that people have posted blood work showing that it reduces AST/ALT enzymes, and the company actually encourages people to get blood tests done. I got it for myself because when I was on cycle I was only on 500 mg test and 50mg Anavar (var) and my AST/ALT was in the 80's and that's high compared to most people considering how mild Anavar (var) is supposed to be. I wanted to run dbol next and have no idea where my numbers would go, so I started researching "dbol liver protectors" and found that. Or else on my last cycle, I was taking UDCA, Liv 52, and Liver Juice and none of that did anything for my enzymes.
 
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OK, this is getting way over blown. Your ALT and AST readings are not that high and probably not a reason for concern. Taking 2 tylenol can spike these values higher than that, and a really hard workout or run can spike these values even higher. ALT and AST are not liver specific and can be released from muscle after a very strenuous workout or a very long and hard run. GGT is more liver specific, make sure they include that test, especially if you have a lot of muscle. If your GGT levels are in the normal range, then your elevated AST and ALT are probably related to your muscle mass and when you worked out last and how hard you hit it. Even with all these factors, your readings are not high enough for most GI docs or heptologists to even worry about, except having you do a few more blood tests.

But some of the advice you got is solid. Stop taking all supplements, and no alcohol or tylenol. Even supplements you predict to be protective like Liv 52, etc, stop them all.
 
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