ALT and AST are liver enzymes and become elevated post workout. If this test wasn’t taken with 24-36 hours of a workout, you should be concerned.
TUDCA and NAC are two supplements that can help.
The_myth beat me to it. My old doc panicked when I had elevated enzymes during a cut. Had me checked for hepatitis and sent me for an unltrasound which came back completely clean. I have consistently had somwhat elevated enzymes since that first check. From what I understand the micro trauma to the muscles causes the enzymes to be released into the blood stream.
@The_Myth @rise80 Hmm, very interesting. I had these tests conducted at 8 a.m. Monday, did an hour of intense cardio on Sunday evening, and lifted hard (back) on Saturday afternoon. That might explain some of the increase? I also have been on a cut for a couple months now, if that is relevant.
My provider doesn’t seem concerned about the liver numbers – said they’re probably related to my workout(s) the day(s) before. Said we’ll just continue to monitor. He said if these numbers get closer to 100 we will consider decreasing Danazol.
I’m thinking I may order some NAC. What would be a good dosage?
I would think so. If you are worried about it at all, could always take a little time off from working out and test again to verify.
Not super worried after chatting with my provider. He didn’t seem concerned at all. I might add a supplement, though, just to be safe.
Gotta say, I’m floored by those HCT-HGB-RBC numbers. I really was expecting some doomsday scenario.
Yeah that sucks brother when she has bought in to a line, and refuses to see it any other way.
The best advice I could give you is to not belittle her beliefs, but have open discussions and bring her copies of the studies that prove otherwise. Don’t let her feel like she’s arguing with you because that’s her comfort zone. You’ll lose every time. Make her bring her argument to something she believes in…Medical science. Let that be the bad guy in this fight. If she digs deep enough she’ll find the truth of the matter. You just be the middle man between her and the medical studies.
You’d be surprised at just how much YOU learn when you have to bring factual evidence instead of argumentative conversation, and you’ll BOTH learn something about each other and improve your own skills in communicating effectively with each other.
It’s a win win!
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That’s good to see man. You’ll want to keep a close eye on it as long as your test dose has you above range on free T.
For sure, I definitely will be! Think that change (260-180) is still the best move?
I do. Just my opinion but you’ve already seen a slight increase in hct. The longer you stay at supra levels, the more that’s going to climb, and some have seen hct creep up and then all of a sudden take a dramatic leap. I’d start tapering down while you’re still in the green zone. That’s just me though.
Also, hct isn’t the only reason to back it down. The longer you stay at those levels, the more risk you have of down regulating testosterone receptors, making therapeutic doses less effective. Just some things to think about.
One more thing to think about, is the risk of enlarging the heart muscle. There are reasons that even professional body builders will cycle large doses of testosterone for no more than 8-12 weeks. Don’t you think that if it was perfectly safe to stay in Superman land that they would do so?
Appreciate it, man. This is new territory to me, so I’m still very much learning about the long-term side effects. It’s good to have people like you educating me! I will stick with the 180/week.
Is there any way that people on T are able to track whether their heart is enlarging? Guessing there isn’t (at least in any practical, affordable sense), but that would be amazing, just so you can cover all your bases.
Also, thoughts on whether it’s necessary to cycle if on a high therapeutic dose (like mine)? Wondering if I should be thinking about decreasing from 180/week to some lower number after, say, 12 weeks, and then cycling back at 180. I recently heard Dr. Lester Lee on Mark Bell’s podcast say that he cycles all his patients.
Not an inexpensive way. The only way I could think of is to get an ultrasound every 6 months or so, but no insurance company would cover that unless you had serious heart issues, and even then they’d find a way to try and not pay it. Ultrasound procedures can get quite pricey.
I couldn’t comment on that one man. Sorry. I haven’t heard of any ill effects of getting your dose where your Free T is high normal, and just keeping it there. I would think that if you’re going to blast, then you should shoot for really high levels for a short time, to make the blast worth the effort and aggravation that you will deal with considering the double stabilization period that comes with blasting/cycling.
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My motivation to lift is absolutely off the charts right now. I’m thinking of going to two-a-days, at least on some days where I’m surging (like today). Thoughts? Is it too much?
Also, if I do that, how much would you bump calories on those days? I’m at 2200 currently and have not yet seen any fat gain, though that can and will obviously occur if I get carried away.
It depends on the person, but a typical good weight lifting session will burn around 400-600 calories. Determine your RMR and then go from there per session.
Be careful of overtraining and try to alternate muscle groups on each session. Let each group have at least 48 hours before you tear them down again. There is a point of diminishing returns when it comes to lifting.
If you have that much drive and can’t yet workout because of the recovery period, take off running down the street. You’ll know if you’re not taking in enough calories because you will start seeing a decline in you lifting progress / ability. If you see that, you’re either overtraining or under eating.
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That’s awesome your motivation is up there right now. A guy at my gym just came off the cream and went to injections and has said he is feeling really amped right now also. Do you feel that motivation came more when you switched?
I would definitely up your calories otherwise I would believe you would become more catabolic and be detrimental to your progress. How much though I’m not sure and would depend on your goal.
If I was to do something like that I would try switching from heavier workouts one workout and the next more of a lighter pump type workout to just get the blood flowing to that muscle. More of active recovery type workout. I definitely would not do it for a long period of time personally but think it would be good for 6 week cycles to shake shit up.
Training doesn’t need to change. If you feel great then just enjoy it. More does not equal better.
The only way I’d do two a days would be something like deadlifts in the morning and the rest of my back workout later in the day.
@bmbrady77 does defy have your wife on anything else?
Really depends what your goals are. Two a days probably aren’t the best for trying to put on size, but if you want to get even more shredded I could see a benefit.
I would do your normal weight training and then add in some total body conditioning. You can also have a few low impact exercises that you do everyday. I would do chin ups, push ups, and v ups everyday when o was training for competition. Oh yeah, and lateral raises. Lots and lots of lateral raises.
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Got to get that v-taper!
How many lateral raises do you in a typical workout man?
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