For anyone wanting to get more info on their elevated liver enzymes. Why are they high what to do etc. There will be live event this coming Thursday 4pm. Hope to see you there👍! This link will take you there. ruclips.net/video/PuTBxEyv5U8/видео.html
I went from 170lbs to 130lbs in 8 months. I’m 51 and used to be in the ARMY. I decided that I needed to get my weight under control after officially entering menopause this year with no cycle in almost 7 months. My liver enzymes went from AST & ALT of
I've reviewing these stories. Thanks for sharing Monica. My ALT pinged after a blood test that was 2 days after an 8 hour extreme surf session where cramping was constant. Did not really think about the weight loss, but I have lost 8 lb in the last two months after a little gain late last year. Also was on a 2 day fast during the blood work.
This puts my mind at ease a little bit. I just finished a natural bodybuilding competition and my training incuded strenous weight training 6 days a week and moderate cardio 7 days a week. Ive always eaten healthy and exercised regularly and never had an issue with elevated enzymes before.
Thank you for this information. I think going just by numbers and not knowing the entire story/lifestyle behind each patient can create these types of issues arise. I recently had bloodwork done and my ALT levels were slightly above the "normal" limit. It worried me at first but after doing some in depth research (along with watching this video) it shows that my active lifestyle and intense gym workouts can indeed influence results.
Last year my AST was at 18 ant ALT around 9 when I did my blood work. During that time I was not doing any strenuous exercises. I recently did blood work with me doing more exercise workouts each week and my AST shout up to 54 and ALT to 44.
After several years of normal AST/ALT readings, only once before did I have elevated numbers. I took a test two days after a workout and four after a near 6 mile hike that left me sore. ALT was 92 AST was around 55. Brought up exercise to the DR and she wants me to take several days off before I take the test again. She ordered other tests after the liver enzyme readings and they all came back normal or negative. Watching your video, I had no idea that one armed exercises pulldowns could cause the enzyme to really increase.
So I got my bloodwork done 18 months later. Did lite workouts (no one armed tricept pulldowns or dumbell presses) and walks for about three days before the bloodwork. AST and ALT in their twenties. I mentioned that to two doctors who were not aware of possible exercise impact.
32 yr old male. My ast from back in april was 39 and alt was 35. Today (october) tests came bacm 286 ast and 73 alt. I didnt know that exercise would affect my blood scores so last night (i got my blood drawn this morning) i did a moderately intense weightlifting workout on chest and shoulders. Im praying that this is the cause 😢 i will say that ive recently cut down on drinking prior to the blood test but since april i was drinking daily probably 3-5 beers a day. So i hope i didnt damage something. Waiting to hear back from doctor tomorrow. This definitely doesnt help my health anxiety 😢
@@jellyboyPH yeah everything is normal now. It was either from having a hard workout days prior or from getting covid right before or both
19 дней назад
My ALT was at 62. I do exercise heavily and regularly. Decided to quit exercise for 1 week and got a 45 ALT. There’s 2 months between the two tests… it could be because of the exercise or maybe lifestyle changes. Idrk
I workout around 8-9 hours a week combination of running, cycling and gym. Got a check up bloodwork last year end august and saw my alt 200 ast 80. I was on diclofenac that time stopped taking then. Got checked my liver enzymes every two weeks. They peaked in a month time to 400-1250 and came back to 52-112 after two months. ALT dominant. Got my blood work last week, elevated numbers again. CK, billurubin, albumin, seruloplasmin all in normal range. Ultrasound looks good. Drinking really few. No fewer, no pain nothing. Completely asymptomatic. Dont know what to do. I’ll get a fibroscan. :(
61, a bit overweight, so I started doing "The Firm" 1 hour exercise dvds which incorporate lots of weights three times a week. I've been constantly sore for the last eight months, but I don't mind, because my body compensation is changing for the better, much more toned and muscular for an old chick lol. Doc ordered a general blood test for a physical and it came back with ALT of 53 and AST of 52. I don't take Tylenol (hate pain killers) and only have a couple of drinks a month. Perhaps exercise explains the elevation. I don't want to stop; I love being buffed! Thanks for the info; much appreciated.
Thank you for this explanation!!!! This probably explains why my hubbys ALP was slightly elevated. 😅 will recheck in one month and ask for those additional tests to verify!
My Ast never increased above 30 while Alt revolves around 20 to 35. I recently started weight training 3 weeks back and got tested today. My ALT/AST elevated to 52/53 although fasting glucose and fasting lipid profile is better than before.
My AST is 52 in the last year's blood tests. I work out but not so much. My doctor is not concerned but I noticed less tolerance to alcohol and lately my region in Italy is recommending a free hepatitis C screening. Let's see how it goes
I teach 10 Pilates class a week and perform each exercise with my students. I am always very fatigued at the end of the week!! My recent blood work indicated high liver enzymes at 110, I’m also a 60 year old who rarely has a drink. Is this dangerous for me at my age to continue teaching this way.
19yo male and coming out of a bout of depression. I’ve trained extensively in the past (martial arts for several years and then weightlifting on and off through out highschool). Went about a year and a half with little to no exercise due to the depression, and recently got back in to the gym. I’ve been really pushing myself and feel great. Got some blood work done for something unrelated. Totally healthy other than elevated liver enzymes. They didn’t tell me the enzymes, but one is 119 and should be 50 ish, one is 250 and should be 50is, and another they said is 250 and should be around 224. Hoping it’s all related to the sudden strenuous exercise and nothing else. Completely asymptomatic as well.
i am working out a lot (martial arts, for about 20 years, used to compete), and for as long as i remember i always had slightly elevated AST with normal ALT and other enzymes. doctors were never able to explain. now i am thinking it might be my training affects it
Thank you! I just started training with heavy weights and my liver enzymes got high. My doctor is freaking out and blames creatine. I will re-do my test next month while exercising and being good with diet and will see.
I had my first labs and my AST was high at 39 U/L. I'm not new to working out but I do strenuous deadlift and bench press each once per week. After every session, I'm sore for 2 days or so. I hope this is the cause and not a sign of something more serious to come.
Interestingly, I went to the gym on the weekend for the firs time in a year. Went hard and i went to the doctor for an unrelated matter which required a blood test. Turns out my CK level was 33k and has now dropped to 6k (2 days after the test). I have another blood test tomorrow because my ALT level was 129 (now 109 2 days later). Really hope this is all related to the exercise and nothing more sinister.
That is super interesting Many thanks for sharing. Progressive resistance training is required to build muscle or increase lean mass in trained and untrained people. So, I can only presume such an elevation would be part and parcel of that. So what would be the takeaway from such a finding? Do we chalk up elevated liver enzymes in such a situation as a false positive, or does it suggest that people should cut back on training or exercise to minimize such damage. I guess too much of a good thing can be bad. I am super guilty of this due to body dysmorphia. So perhaps no surpise that my liver enzymes were elevated for the first time as I ramped up my exercise quite a bit before my blood test. I don’t drink or take tylenol and generally eat healthy, avoiding highly refined carbs and highly palliatible ultraprocessed foods. I welcomed my dr’s decision to refer me for an ultrasound of my liver to confirm if my liver is inflamed. The only supplements I take are creatine and taurine at the recommended doses. If anything taurine from the research I have seen is supposed to be liver protective, and not destructive based on studies.
With exercise raising the levels it is muscle damage and yes you can over do it with exercise. Small elevations are not concerning creatine kinase can be run to help quantify the muscle damage
My ALT levels were 119 and Aspertate levels were measuring 286 on my last checkup 1 year ago. My doctor tested me again for everything under the sun. Everything that could have been a cause came back negative. My doctor sent me to an untrasound. But it was too expensive unfortunately (Screw the healthcare system).. its been a year and i have no symptoms or pain of anykind. Ive been lifting weights and making pretty good gains, and ive never felt better. But the thought still lingers in the back of my mind that somthing might be wrong.
yes, need to make sure it is exercise causing it. liver Ultrasound is very inexpensive out of pocket btw. BTW I am doing a free live stream next Thursday on this topic if you still have questions. submit your questions in the comments of this post (link below) or live during the stream. Join us if you can! ruclips.net/user/postUgkxvC_29eriOmQ1kK5P275BPsO195-QqUe5
Thanks for explaining this. My enzymes are always elevated in the mid-upper 50’s. That is ALT. AST is always upper 30’s or low 40’s. I am highly trained and have weight trained for 25 years. Even looking back at my records from 2010 it’s nearly the same. My Dr doesn’t seem to concerned because he knows I train hard and heavy. I can never get an answer as to when these numbers should be cause for concern??? Also my creatinine is generally slightly elevated too. Would this be cause for concern for you??? I don’t drink, abuse NSAIDS, or acetaminophen. All other labs are in good ranges. Glad I found you!! I’m now subscribed😊
I have the same problem you do high liver enzymes and I can't figure out why!!! I've been blaming it on diet I even starting to wonder if eating beans cause liver enzymes to go up I also exercise no drugs no alcohol and nothing I eat clean, if exercise causes liver enzymes to go up that makes no sense because exercise is very healthy what are we supposed to do?
Did a blood test about 3 weeks ago and had mostly stopped weight lifting after a prolonged bout with hemorrhoids caused by improper/overexertion. ALT 142, AST 47, but my other liver markers were normal. Don't really feel any different although I've read somewhere where hemorrhoids are secretly a liver problem so that can also be a hidden cause
Hi Doctor, I am happy to see you reply almost everyone which encourage me to share my horrible experience now. I have a blood test, My AST is 326, ALT is 94. Both are extremely high. My other liver data are normal. I don't have any uncomfortable symptoms as well(except a lot of dream at night). Another two abnormal is : my Protein UR: 30+=1+!, Ketones UA 80=3+!. (I don't know are they caused by AST/ALT) . Moreover, I have did exercise the day before I went to the lab(I didn't do exercise for a long time). I am really worried now because my AST/ALT ratio is >3 which is a bad sign, correct? Your reply will be highly appreciated. Thank you.
the problem is you overweight .. didd u calculate your BMI ?? u just need to eat healthy and run 5x a week and keep normal weight within BMI limit then ALT/AST will drop ...
It is hard to say with only this information. BTW I am doing a free live stream next Thursday on this topic if you still have questions. You can submit your questions in the comments of this post (link below) or live during the stream. Join us if you can! ruclips.net/user/postUgkxvC_29eriOmQ1kK5P275BPsO195-QqUe5
Thanks for sharing. I just had blood work done that shows normal AST but mild elevated ALT of 42. I am a 29 yr old female. The night before my blood work I did my first workout since I delivered my baby. I specifically remember thinking that my biceps were so sore while getting my labs drawn. Hoping this is the cause for my elevation and nothing serious!
I had recently start a heavy weightlifting program on a Saturday and had bloodwork the following Thursday. Liver function came back super high ALT and AST. I am Male 42 and went hard in the Gym and had crazy DOMS soreness over my whole body. I was call back in to the Lab for follow up test the following Monday and DOMS was no longer and issue. MY ALT and AST are now just slightly high and we are following back up in 3 weeks. This was just a difference of just 4 days between the blood being drawn.
Hey do you mind noting your numbers mine a few months ago was 39 ast and 37 alt. I did a hard workout with extreme doms on Monday and another workout Wednesday night. Today (Thursday) my blood was tested this morning and now it's 286 ast and 73 alt. Do you think it's from the exercise. Still waiting to hear back from doctor
I fasted 12 hrs prior to a blood test and my bilirubin was 13 umol/L. I went for the test 30 mins after waking up. Drank a couple glasses of water. The day prior i went on a long walk in the heat and didnt drink enough water. Should you fast prior to a bilirubin test? Would any of these things play a factor. My score last year was 8
(SGPT/ALT) 117. Im 34 y/o f. What the doctor told me was to avoid oily food and take the medicine he prescribed. It's possible that it's also due to my weight gain and high cholesterol, but it never increased like this in my previous tests. Now, I thought maybe it's because I quit my old job? From 2023 until May 2024, I am lifting a mineral water container with a weight of 20kg, and the minimum is about 30-50 pcs per day, because there are areas that cannot fit a car, so it needs to be lifted. then from June 2024 until now I don't lift anymore. Could it be because I stopped that it increased like this? help me because The doctor prescribed me atorvastatin, fish oil, and power liver, I had to take it every day for 2 months. is it ok, won't it harm my kidney?
Hello Doc. I had done my bloodwork and my ALT levels are 80.7 and my AST levels are 179.1. I'm not consuming any alcohol,sugar and not taking any medicine. Also, I'm not exercising. I just know that my diet is not that good. So what are your recommendations for me ? What do I need to eat specifically to lower my ALT and AST levels ? Thanks in advance.
Hi there, I would say you should visit your Dr. to get the diagnosis first (get an ultrasound or MRI). Try going to bed before 10pm, wake up no later than 6:30am. Drink at least 2l of water a day and walk at least 40min/day. Eat your 3 meals at the same time every day. Try to laugh and have fun daily. Eat a small portion of protein with your 3 meals (eggs, beef, beef liver, chicken, fish, turkey, from the best source you can) and eat mostly vegetables and just a little fruit. Avoid everything else and if you have cravings drink water and think you will have that food when your liver is completely healed. Avoid taking pain killers or any medication that isn’t absolutely necessary. Good luck, I am in the same boat.
In one month I went from ast 30 to 989 and alt went from 77 to 327. Only change was very hard exercise for 3 days in a row that ended 48 hours prior to blood draw. Also TRT therapy at 150 mg per week. Do you think testosterone caused the spike or more from hardcore hitting the gym for 3 days. I could not move my arms straight or lift over my head after. I got injected with NSAIDs in the shoulders the night before blood work. Just alarming to see such a spike.
I am an individual who has been struggling with acne significantly throughout my life and have tried everything except accutane (Tretinoin cream for years, antibiotics etc...) but my Doctor would not prescribe me accutane because of my elevated liver enzymes. I exercise heavily, everyday with full body exercises and do a lot of cardio. I do wonder if this could be the reason, I do not drink at all, smoke and for the most part eat healthy. I don't want to stop going to the gym for 3 weeks to figure out of this is the cause, but I wonder if I can tell my GP about this study.
I've been wondering if it's my fat intake or my carb intake that made my enzymes go up I've even been wondering if eating beans made my liver enzymes go up, or was it the beef tallow I added to my food? After seeing this video now I'm wondering if it's my exercise routine,, I work out 5 to 6 days a week , if exercise causes high liver enzymes and it's not from diet what are we supposed to do? Exercise is healthy I have osteoporosis I also exercised to stimulate bone density I don't want to stop exercising what can we do about it??
I did intense Excercise and high asl and alt but normal ggt however when i ultrasound the result show that i have mild parenchymatous change of liver without space taking leison so this mean my liver damage or muscle damage
Do you think Nicotinic Acid supplementation of 500mg/day can cause elevated AST? I just got my blood work and my ALT was 11, but my AST was 89. I also do quite intense training, but I do take Trimethylglycine in order to support the liver....
That's a good question now I'm wondering because exercise is healthy it builds muscle and strong bones I don't want to stop working out I know the benefits I've seen the benefits in my body and we need to build muscle because we lose it with age and it helps with osteoporosis too , I know my liver enzymes are high and I eat a clean healthy diet no alcohol no drugs , not exercising can't be beneficial either there has to be something else we can do!
Hi doc, hope you can help me 😊 last week my liver enzyme result was these. Total protein modular. 72 total bilirubin. 11. 2 direct bilirubin 1.7 albumin modular 42 alkaline phospatase 76 alanine aminotrans 130 AST. 65 GGT. 125 VIT.B12. 1058 i don't drink alcohol. i have uneasy feeling every afternoon. feeling tired. thanks doc. God bless you.
most ALT/AST went up can be many reasons but mostly due to OBESITY .. if u can keep your weight under controla and eat healthy then it should drop under normal range.. it does not matter u exercise or not ... calculate your BMI first to see if u are overweight, try to eat more vegetables ... check vitamin D level ..if u need it, then take vitamin D
I am totally confused now! 😢 How are we supposed to lose weight if exercise is making the one thing we are trying to lower worse!!!??? I'm so lost now 😢😢😢😢 Can you help answer this please?
@@swintegrative But if I am continuing to weight train, build muscle and lose fat, will the ALT continue to go up and surpass 100 for example? With strength and resistance training you are always going to push yourself so are we now saying building muscle and lowering fat is not an option?
@@swintegrative So we are not in any danger if ALT goes up by exercise? What if, for example, my ALT was 63 and exercise made it go up to 75 and continuous exercise only made it go up. Isn't that cause for alarm? I'm asking this because my ALT went from 52 to 63 and this was after moving to a healthy diet, losing 3kg and going back to the gym. This all happened this month in the space of 3 weeks... The weight drop and diet change and increased ALT/AST. Oh and not to forget, I have not had a drop of alcohol since Jan 1st.
Hi Doctor. Should I be worried of my ALT at 38 and my AST at 41? A month before they were the opposite. I also was diagnosed with nodular focular hyperplasia. But my HHT doctor says they are just AVM in the liver, since I have that condition. Thank you
I went hard at gym newbie and one of my arms swole up from bicep then I went to hospital for it my ast was 427 my alt was 162 but all other liver function including bilirubin was normal I retest in 30 days to see but I’m sure that’s the cause
Hi Doc. I recently got my bloodwork done for my yearly physical. I am a hybrid athlete (cyclist, runner, and lift weights). I ran 52 minutes yesterday and then rode on the trainer for 75 minutes- was quite sore afterwards... This morning my ALT was 82 U/L and AST was 82 U/L. I was fasted for 11 hours hydrated, and had 0 alcohol for the previous 36 hours. Would you recommend getting more bloodwork done after 2-3 days of rest, or would you chalk this up as exercise induced?
Is having high enzymes, whether or not they’re in the liver or in your muscles, actually a bad thing? I do heavy strength training weight lifting 5 days a week, have had elevated enzymes on 3 blood tests now, not unhealthy levels but still high. Is it actually bad for me? Even if it is just from my intentional muscle damage to grow my muscles?
Hi Doc my AST is normal and my ALT is 43. My bilirubin was a little high being 1.36. I was tested for hepatitis A B and C and all neg. These numbers seem to fluctuate whenever I go for my checkups. My liver sonogram in 1916 was normal. Should I take it again? I am very concerned.
My ALT is 55 ( it says normal ) my AST is above the normal range 52 , considering I’m a weightlifter and I do cardio as well 6 days a week . Shall I be worried ?
Hello doctor I’m on accutane just finished the second month tt. I had a blood work done and my liver enzymes were high (double the normal range even tho it’s the same dose) I had it done after weightlifting immediately ..would it be the cause?and is it considered as a false readings? I repeated the test the second day it was lower by 10degrees for AST and 4 for the ALT The doctor lowered my dose and told me to not work out at all and repeat my blood test after 2wks..is weightlifting on accutane harmful to my body?
Last month my sgpt ALT was 80+ and this month I went up to 120+. I'm also working out 6x a week. Do I have to worry with the spike? I also di ultrasound and diagnosed with fatty liver. Thank you doc 🙏
What was the name of the two tests you said at the end that we should request to confirm it's from muscle and not liver? My ALT/AST has been consistently between 9-21. now I workout hard frequently... it jumped to 43 AST and 58 ALT. doc says to avoid alcohol but I barely drink already. after watching this I think it's from working out.
I'm well aware of a thing called confirmation bias so fighting this, but really appreciate your review of the literature and this case study. I've been in keto for 1.5 years and had my annual blood work last week. Prior blood test was after 6 months + in keto. ALT and AST were 18/19 a year ago. My ALT in recent test was 47 and AST still around 20. I read that hyperlipidemia from too much dietary fat can stress the liver so that was my initial worry for the increase. But when I saw ALT was release by cellular damage, started looking to see if intense exercise and muscle damage could release ALT. Main reason... two days before my last bloodwork, I surfed one of the most intense days of my life. 8 hours in the water essentially paddling through sizable surf. After 4 hours I had cramping in my arms, pecs, legs and abs. Thought I should get out, but just paddled through. On keto, I did this with no food that day until afterwards. The day prior I surfed 2 hours and the day after I surfed a few hours. When I saw ALT elevation lasted up to 7-10 days, it just made sense. It did not make sense that I quit alcohol 4 years ago and have been eating really healthy most of my life with keto and intermittent fasting the last two years and my liver is fatty. I am transitioning to Mediterranean low carb for a while and get retested in a few months. My traditional LDL metric did go high from keto from 100 to 170. But I got the detailed lipid panel and my small particle count was less than 90 which if off the scale low. Think my increase in LDL is larger particle carrying fat to cells since I'm fat adapted. Not the small LDL increase from sugar-to-fat storage. My triglycerides was super low at 50 and HDL is close to 100. From the data I've read, the TRI/HDL ratio is the better metric for heart health and my numbers are superb. Blood pressure is low and the best in the last 20 years. Resting heart rate last night sleeping was 45. Thanks again.
You can get a liver ultrasound where they will look directly at the health of your liver. That could rule out non-alcoholic fatty liver, which is associated with ALT over 40.
last month pre gym my levels were 15 AST and 24 ALT, this month after I returned to gym after stopping for 5 months or so, I returned last week and hit arms/back 4 days in a row the took my blood test yesterday and my levels jumped from 113 ALT and 237 AST, changed nothing in diet. do u think my return to the gym is the cause? I went pretty hard to the point of my arms being so sore in the morning I had to slowly expand them out lol
I had the same thing, although not quite as big a jump as yours. I also went from an extremely low-carb diet and very little exercise to now eating more fruits and grains and training harder/more frequently, 4 days a week.
Have a similar experience, AST shot to 83 from 47, although ALT dropped from 54 to 49 . Have been lifting weights too much, way too much, 6 days a week. No alcohol, good diet. Bilirubin is slightly high. Have NAFL though.
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For anyone wanting to get more info on their elevated liver enzymes. Why are they high what to do etc. There will be live event this coming Thursday 4pm. Hope to see you there👍! This link will take you there. ruclips.net/video/PuTBxEyv5U8/видео.html
I went from 170lbs to 130lbs in 8 months. I’m 51 and used to be in the ARMY. I decided that I needed to get my weight under control after officially entering menopause this year with no cycle in almost 7 months. My liver enzymes went from AST & ALT of
Sounds like could be from exercise
I've reviewing these stories. Thanks for sharing Monica. My ALT pinged after a blood test that was 2 days after an 8 hour extreme surf session where cramping was constant. Did not really think about the weight loss, but I have lost 8 lb in the last two months after a little gain late last year. Also was on a 2 day fast during the blood work.
You can’t outrun the fork. Also…are you meeting your protein targets? When are you going to eat at maintenance calories?
This puts my mind at ease a little bit. I just finished a natural bodybuilding competition and my training incuded strenous weight training 6 days a week and moderate cardio 7 days a week. Ive always eaten healthy and exercised regularly and never had an issue with elevated enzymes before.
Excellent! Thanks for presenting!
My pleasure!
This puts my mind at ease… AST and ALT was 29 each, but it was after a workout. GGT was 15….This video explains it, thankyou.
Good thanks for visiting.
Thank you. I will stop panicking now
Thank you for this information. I think going just by numbers and not knowing the entire story/lifestyle behind each patient can create these types of issues arise. I recently had bloodwork done and my ALT levels were slightly above the "normal" limit. It worried me at first but after doing some in depth research (along with watching this video) it shows that my active lifestyle and intense gym workouts can indeed influence results.
Yep it can
Hi doc I got same medical check up then the enzymes are a bit high by 5 can I worry about it
Last year my AST was at 18 ant ALT around 9 when I did my blood work. During that time I was not doing any strenuous exercises. I recently did blood work with me doing more exercise workouts each week and my AST shout up to 54 and ALT to 44.
Great info. I did not know this and it puts some of my past bloodwork into context. Thank you.
Glad it was helpful!
After several years of normal AST/ALT readings, only once before did I have elevated numbers. I took a test two days after a workout and four after a near 6 mile hike that left me sore. ALT was 92 AST was around 55. Brought up exercise to the DR and she wants me to take several days off before I take the test again. She ordered other tests after the liver enzyme readings and they all came back normal or negative. Watching your video, I had no idea that one armed exercises pulldowns could cause the enzyme to really increase.
Thanks for sharing. It is an under appreciated phenomenon.
Update?
So I got my bloodwork done 18 months later. Did lite workouts (no one armed tricept pulldowns or dumbell presses) and walks for about three days before the bloodwork. AST and ALT in their twenties. I mentioned that to two doctors who were not aware of possible exercise impact.
@@launchpadmcquack4971 Updated. 18 months later, lite workout days before tests. Both tests in the 20's and normal.
@@swintegrative updated in comments above. Your advice worked.
32 yr old male. My ast from back in april was 39 and alt was 35. Today (october) tests came bacm 286 ast and 73 alt. I didnt know that exercise would affect my blood scores so last night (i got my blood drawn this morning) i did a moderately intense weightlifting workout on chest and shoulders. Im praying that this is the cause 😢 i will say that ive recently cut down on drinking prior to the blood test but since april i was drinking daily probably 3-5 beers a day. So i hope i didnt damage something. Waiting to hear back from doctor tomorrow. This definitely doesnt help my health anxiety 😢
Good luck
Update with this?
@@jellyboyPH yeah everything is normal now. It was either from having a hard workout days prior or from getting covid right before or both
My ALT was at 62. I do exercise heavily and regularly. Decided to quit exercise for 1 week and got a 45 ALT. There’s 2 months between the two tests… it could be because of the exercise or maybe lifestyle changes. Idrk
I workout around 8-9 hours a week combination of running, cycling and gym. Got a check up bloodwork last year end august and saw my alt 200 ast 80. I was on diclofenac that time stopped taking then. Got checked my liver enzymes every two weeks. They peaked in a month time to 400-1250 and came back to 52-112 after two months. ALT dominant. Got my blood work last week, elevated numbers again. CK, billurubin, albumin, seruloplasmin all in normal range. Ultrasound looks good. Drinking really few. No fewer, no pain nothing. Completely asymptomatic. Dont know what to do. I’ll get a fibroscan. :(
Hi
What was the result of your fibroscan?
@@kayceepreshie182 db/m - 7 kpA
61, a bit overweight, so I started doing "The Firm" 1 hour exercise dvds which incorporate lots of weights three times a week. I've been constantly sore for the last eight months, but I don't mind, because my body compensation is changing for the better, much more toned and muscular for an old chick lol. Doc ordered a general blood test for a physical and it came back with ALT of 53 and AST of 52. I don't take Tylenol (hate pain killers) and only have a couple of drinks a month. Perhaps exercise explains the elevation. I don't want to stop; I love being buffed! Thanks for the info; much appreciated.
Thank you for this explanation!!!! This probably explains why my hubbys ALP was slightly elevated. 😅 will recheck in one month and ask for those additional tests to verify!
My Ast never increased above 30 while Alt revolves around 20 to 35. I recently started weight training 3 weeks back and got tested today. My ALT/AST elevated to 52/53 although fasting glucose and fasting lipid profile is better than before.
My AST is 52 in the last year's blood tests. I work out but not so much. My doctor is not concerned but I noticed less tolerance to alcohol and lately my region in Italy is recommending a free hepatitis C screening. Let's see how it goes
This seems like the problem I may be having. I exercise 5 days a week. Never had elevated liver enzymes until recently. I would love to learn more.
Not exercise in general but increased exercise right before the test.
@@swintegrative interesting. I did workout the morning before the test.
I teach 10 Pilates class a week and perform each exercise with my students.
I am always very fatigued at the end of the week!!
My recent blood work indicated high liver enzymes at 110, I’m also a 60 year old who rarely has a drink.
Is this dangerous for me at my age to continue teaching this way.
Age probably has little to do with it but IDK... sounds like you may be overtrained.
19yo male and coming out of a bout of depression. I’ve trained extensively in the past (martial arts for several years and then weightlifting on and off through out highschool). Went about a year and a half with little to no exercise due to the depression, and recently got back in to the gym. I’ve been really pushing myself and feel great. Got some blood work done for something unrelated. Totally healthy other than elevated liver enzymes. They didn’t tell me the enzymes, but one is 119 and should be 50 ish, one is 250 and should be 50is, and another they said is 250 and should be around 224. Hoping it’s all related to the sudden strenuous exercise and nothing else. Completely asymptomatic as well.
Probably that's it but check with your doctor for re-testing.
So any updates on your blood results?
i am working out a lot (martial arts, for about 20 years, used to compete), and for as long as i remember i always had slightly elevated AST with normal ALT and other enzymes. doctors were never able to explain. now i am thinking it might be my training affects it
Yes could be
Thank you! I just started training with heavy weights and my liver enzymes got high. My doctor is freaking out and blames creatine. I will re-do my test next month while exercising and being good with diet and will see.
I had my first labs and my AST was high at 39 U/L. I'm not new to working out but I do strenuous deadlift and bench press each once per week. After every session, I'm sore for 2 days or so. I hope this is the cause and not a sign of something more serious to come.
Interestingly, I went to the gym on the weekend for the firs time in a year. Went hard and i went to the doctor for an unrelated matter which required a blood test. Turns out my CK level was 33k and has now dropped to 6k (2 days after the test). I have another blood test tomorrow because my ALT level was 129 (now 109 2 days later).
Really hope this is all related to the exercise and nothing more sinister.
sounds like it is some or all related to the exercise.
Sorry for the late reply. If you happen to see this - Did you get this figured out?
That is super interesting Many thanks for sharing. Progressive resistance training is required to build muscle or increase lean mass in trained and untrained people. So, I can only presume such an elevation would be part and parcel of that. So what would be the takeaway from such a finding? Do we chalk up elevated liver enzymes in such a situation as a false positive, or does it suggest that people should cut back on training or exercise to minimize such damage. I guess too much of a good thing can be bad. I am super guilty of this due to body dysmorphia. So perhaps no surpise that my liver enzymes were elevated for the first time as I ramped up my exercise quite a bit before my blood test. I don’t drink or take tylenol and generally eat healthy, avoiding highly refined carbs and highly palliatible ultraprocessed foods. I welcomed my dr’s decision to refer me for an ultrasound of my liver to confirm if my liver is inflamed. The only supplements I take are creatine and taurine at the recommended doses. If anything taurine from the research I have seen is supposed to be liver protective, and not destructive based on studies.
With exercise raising the levels it is muscle damage and yes you can over do it with exercise. Small elevations are not concerning creatine kinase can be run to help quantify the muscle damage
@@swintegrative Thanks. That makes sense
My ALT levels were 119 and Aspertate levels were measuring 286 on my last checkup 1 year ago. My doctor tested me again for everything under the sun. Everything that could have been a cause came back negative. My doctor sent me to an untrasound. But it was too expensive unfortunately (Screw the healthcare system).. its been a year and i have no symptoms or pain of anykind. Ive been lifting weights and making pretty good gains, and ive never felt better. But the thought still lingers in the back of my mind that somthing might be wrong.
yes, need to make sure it is exercise causing it. liver Ultrasound is very inexpensive out of pocket btw. BTW I am doing a free live stream next Thursday on this topic if you still have questions. submit your questions in the comments of this post (link below) or live during the stream. Join us if you can! ruclips.net/user/postUgkxvC_29eriOmQ1kK5P275BPsO195-QqUe5
Thanks for explaining this. My enzymes are always elevated in the mid-upper 50’s. That is ALT. AST is always upper 30’s or low 40’s.
I am highly trained and have weight trained for 25 years. Even looking back at my records from 2010 it’s nearly the same. My Dr doesn’t seem to concerned because he knows I train hard and heavy. I can never get an answer as to when these numbers should be cause for concern??? Also my creatinine is generally slightly elevated too. Would this be cause for concern for you??? I don’t drink, abuse NSAIDS, or acetaminophen. All other labs are in good ranges.
Glad I found you!! I’m now subscribed😊
You are welcome! I will make some videos on these topics more so watch out for those. ALT 50s is a bit high.
I have the same problem you do high liver enzymes and I can't figure out why!!! I've been blaming it on diet I even starting to wonder if eating beans cause liver enzymes to go up
I also exercise no drugs no alcohol and nothing I eat clean, if exercise causes liver enzymes to go up that makes no sense because exercise is very healthy what are we supposed to do?
Did a blood test about 3 weeks ago and had mostly stopped weight lifting after a prolonged bout with hemorrhoids caused by improper/overexertion. ALT 142, AST 47, but my other liver markers were normal. Don't really feel any different although I've read somewhere where hemorrhoids are secretly a liver problem so that can also be a hidden cause
You can see hemorrhoids with liver disease but would be hard to know if that is the cause vs overexertion.
Hi Doctor, I am happy to see you reply almost everyone which encourage me to share my horrible experience now. I have a blood test, My AST is 326, ALT is 94. Both are extremely high. My other liver data are normal. I don't have any uncomfortable symptoms as well(except a lot of dream at night). Another two abnormal is : my Protein UR: 30+=1+!, Ketones UA 80=3+!. (I don't know are they caused by AST/ALT) . Moreover, I have did exercise the day before I went to the lab(I didn't do exercise for a long time). I am really worried now because my AST/ALT ratio is >3 which is a bad sign, correct? Your reply will be highly appreciated. Thank you.
the problem is you overweight .. didd u calculate your BMI ?? u just need to eat healthy and run 5x a week and keep normal weight within BMI limit then ALT/AST will drop ...
Hello! Any update ?
It is hard to say with only this information. BTW I am doing a free live stream next Thursday on this topic if you still have questions. You can submit your questions in the comments of this post (link below) or live during the stream. Join us if you can! ruclips.net/user/postUgkxvC_29eriOmQ1kK5P275BPsO195-QqUe5
Thanks for sharing. I just had blood work done that shows normal AST but mild elevated ALT of 42. I am a 29 yr old female. The night before my blood work I did my first workout since I delivered my baby. I specifically remember thinking that my biceps were so sore while getting my labs drawn. Hoping this is the cause for my elevation and nothing serious!
Sounds like that could be the cause
How come most doctors are unaware of this? I explained this research to my physician and they were at a lost
well they have to be interested enough to look into itI guess. It is not taught in medical school
I had recently start a heavy weightlifting program on a Saturday and had bloodwork the following Thursday. Liver function came back super high ALT and AST. I am Male 42 and went hard in the Gym and had crazy DOMS soreness over my whole body. I was call back in to the Lab for follow up test the following Monday and DOMS was no longer and issue. MY ALT and AST are now just slightly high and we are following back up in 3 weeks. This was just a difference of just 4 days between the blood being drawn.
What we’re your levels after 3 weeks?
Hey do you mind noting your numbers mine a few months ago was 39 ast and 37 alt. I did a hard workout with extreme doms on Monday and another workout Wednesday night. Today (Thursday) my blood was tested this morning and now it's 286 ast and 73 alt. Do you think it's from the exercise. Still waiting to hear back from doctor
@@zhongxina2793 did u get new ast and alt numbers
@@zhongxina2793Any news ?
@zhongxina2793 update with your result? Does high alt /ast due to workout?
I fasted 12 hrs prior to a blood test and my bilirubin was 13 umol/L. I went for the test 30 mins after waking up. Drank a couple glasses of water.
The day prior i went on a long walk in the heat and didnt drink enough water.
Should you fast prior to a bilirubin test? Would any of these things play a factor. My score last year was 8
It’s possible for dehydration to play a role in elevated levels of many tests fasting should not affect that one though.
(SGPT/ALT) 117. Im 34 y/o f. What the doctor told me was to avoid oily food and take the medicine he prescribed. It's possible that it's also due to my weight gain and high cholesterol, but it never increased like this in my previous tests. Now, I thought maybe it's because I quit my old job? From 2023 until May 2024, I am lifting a mineral water container with a weight of 20kg, and the minimum is about 30-50 pcs per day, because there are areas that cannot fit a car, so it needs to be lifted. then from June 2024 until now I don't lift anymore. Could it be because I stopped that it increased like this? help me because The doctor prescribed me atorvastatin, fish oil, and power liver, I had to take it every day for 2 months. is it ok, won't it harm my kidney?
Hello Doc. I had done my bloodwork and my ALT levels are 80.7 and my AST levels are 179.1. I'm not consuming any alcohol,sugar and not taking any medicine. Also, I'm not exercising. I just know that my diet is not that good. So what are your recommendations for me ? What do I need to eat specifically to lower my ALT and AST levels ? Thanks in advance.
Hi there, I would say you should visit your Dr. to get the diagnosis first (get an ultrasound or MRI). Try going to bed before 10pm, wake up no later than 6:30am. Drink at least 2l of water a day and walk at least 40min/day. Eat your 3 meals at the same time every day. Try to laugh and have fun daily. Eat a small portion of protein with your 3 meals (eggs, beef, beef liver, chicken, fish, turkey, from the best source you can) and eat mostly vegetables and just a little fruit. Avoid everything else and if you have cravings drink water and think you will have that food when your liver is completely healed. Avoid taking pain killers or any medication that isn’t absolutely necessary. Good luck, I am in the same boat.
In one month I went from ast 30 to 989 and alt went from 77 to 327. Only change was very hard exercise for 3 days in a row that ended 48 hours prior to blood draw. Also TRT therapy at 150 mg per week. Do you think testosterone caused the spike or more from hardcore hitting the gym for 3 days. I could not move my arms straight or lift over my head after. I got injected with NSAIDs in the shoulders the night before blood work. Just alarming to see such a spike.
those numbers are very high so need to be followed closely, most likely exercise induced based on how you describe it.
I am an individual who has been struggling with acne significantly throughout my life and have tried everything except accutane (Tretinoin cream for years, antibiotics etc...) but my Doctor would not prescribe me accutane because of my elevated liver enzymes.
I exercise heavily, everyday with full body exercises and do a lot of cardio. I do wonder if this could be the reason, I do not drink at all, smoke and for the most part eat healthy. I don't want to stop going to the gym for 3 weeks to figure out of this is the cause, but I wonder if I can tell my GP about this study.
Idk it will depend on them and your numbers. Worth a try though
I've been wondering if it's my fat intake or my carb intake that made my enzymes go up I've even been wondering if eating beans made my liver enzymes go up, or was it the beef tallow I added to my food? After seeing this video now I'm wondering if it's my exercise routine,, I work out 5 to 6 days a week , if exercise causes high liver enzymes and it's not from diet what are we supposed to do? Exercise is healthy I have osteoporosis I also exercised to stimulate bone density I don't want to stop exercising what can we do about it??
The video does not say all exercise causes this. Check out my video on liver enzymes and diet.
@@swintegrative liver enzymes and diet, I'll look for that video I'm trying to figure out what's going on with my liver enzymes
I did intense Excercise and high asl and alt but normal ggt however when i ultrasound the result show that i have mild parenchymatous change of liver without space taking leison so this mean my liver damage or muscle damage
I cannot say.
This makes me feel better lol I literally ran/walked for 6 miles 2 hours before my blood work haha
Hope you're doing well, what were your numbers? Did they drop back to normal?
@@zhongxina2793 Any update to your situation?
Do you think Nicotinic Acid supplementation of 500mg/day can cause elevated AST? I just got my blood work and my ALT was 11, but my AST was 89. I also do quite intense training, but I do take Trimethylglycine in order to support the liver....
I think at high doses niacin can raise liver enzymes
So should you just ignore the elevation if it's due to exercise?
possibly but would really depend on the context, the person etc.
That's a good question now I'm wondering because exercise is healthy it builds muscle and strong bones I don't want to stop working out I know the benefits I've seen the benefits in my body and we need to build muscle because we lose it with age and it helps with osteoporosis too , I know my liver enzymes are high and I eat a clean healthy diet no alcohol no drugs , not exercising can't be beneficial either there has to be something else we can do!
Hi doc, hope you can help me 😊
last week my liver enzyme result was these.
Total protein modular. 72
total bilirubin. 11. 2
direct bilirubin 1.7
albumin modular 42
alkaline phospatase 76
alanine aminotrans 130
AST. 65
GGT. 125
VIT.B12. 1058
i don't drink alcohol.
i have uneasy feeling every afternoon. feeling tired.
thanks doc. God bless you.
most ALT/AST went up can be many reasons but mostly due to OBESITY .. if u can keep your weight under controla and eat healthy then it should drop under normal range.. it does not matter u exercise or not ... calculate your BMI first to see if u are overweight, try to eat more vegetables ... check vitamin D level ..if u need it, then take vitamin D
I am totally confused now! 😢 How are we supposed to lose weight if exercise is making the one thing we are trying to lower worse!!!??? I'm so lost now 😢😢😢😢 Can you help answer this please?
Usually just when you do heavy exercise that your body is not use to that will spike the numbers not the routine exercise
@@swintegrative But if I am continuing to weight train, build muscle and lose fat, will the ALT continue to go up and surpass 100 for example? With strength and resistance training you are always going to push yourself so are we now saying building muscle and lowering fat is not an option?
@@The_Professor26 no we are nto saying that just that exercise gives the appearance of altered liver function when in fact it is from exercise.
@@swintegrative So we are not in any danger if ALT goes up by exercise? What if, for example, my ALT was 63 and exercise made it go up to 75 and continuous exercise only made it go up. Isn't that cause for alarm? I'm asking this because my ALT went from 52 to 63 and this was after moving to a healthy diet, losing 3kg and going back to the gym. This all happened this month in the space of 3 weeks... The weight drop and diet change and increased ALT/AST. Oh and not to forget, I have not had a drop of alcohol since Jan 1st.
@@swintegrative Any chance of a reply to my last message please?
should a person take a brake from exercise if his AST is elevated? thank you.
That’s hard to say but in most cases not likely the right approach
Hi Doctor. Should I be worried of my ALT at 38 and my AST at 41? A month before they were the opposite. I also was diagnosed with nodular focular hyperplasia. But my HHT doctor says they are just AVM in the liver, since I have that condition. Thank you
I went hard at gym newbie and one of my arms swole up from bicep then I went to hospital for it my ast was 427 my alt was 162 but all other liver function including bilirubin was normal I retest in 30 days to see but I’m sure that’s the cause
Thanks for sharing
Hi, what was the cause?
Update?
Used NAC and Milkthistle for one month. Enzymes back to normal
@@zhongxina2793
Hi Doc.
I recently got my bloodwork done for my yearly physical. I am a hybrid athlete (cyclist, runner, and lift weights).
I ran 52 minutes yesterday and then rode on the trainer for 75 minutes- was quite sore afterwards...
This morning my ALT was 82 U/L and AST was 82 U/L. I was fasted for 11 hours hydrated, and had 0 alcohol for the previous 36 hours.
Would you recommend getting more bloodwork done after 2-3 days of rest, or would you chalk this up as exercise induced?
those r high enough you want to double check it is from the exercise.
Is having high enzymes, whether or not they’re in the liver or in your muscles, actually a bad thing? I do heavy strength training weight lifting 5 days a week, have had elevated enzymes on 3 blood tests now, not unhealthy levels but still high. Is it actually bad for me? Even if it is just from my intentional muscle damage to grow my muscles?
no i don't think so.
Hi Doc my AST is normal and my ALT is 43. My bilirubin was a little high being 1.36. I was tested for hepatitis A B and C and all neg. These numbers seem to fluctuate whenever I go for my checkups. My liver sonogram in 1916 was normal. Should I take it again? I am very concerned.
are u overweight ??? try to keep your weight in BMI range
NAC + Milk Thistle and your enzymes will be back to normal. (Assuming there's no other underlying cause)
My ALT is 55 ( it says normal ) my AST is above the normal range 52 , considering I’m a weightlifter and I do cardio as well 6 days a week .
Shall I be worried ?
yes, need to make sure it is exercise causing
Hello doctor
I’m on accutane just finished the second month tt. I had a blood work done and my liver enzymes were high (double the normal range even tho it’s the same dose) I had it done after weightlifting immediately ..would it be the cause?and is it considered as a false readings? I repeated the test the second day it was lower by 10degrees for AST and 4 for the ALT
The doctor lowered my dose and told me to not work out at all and repeat my blood test after 2wks..is weightlifting on accutane harmful to my body?
Last month my sgpt ALT was 80+ and this month I went up to 120+. I'm also working out 6x a week. Do I have to worry with the spike? I also di ultrasound and diagnosed with fatty liver. Thank you doc 🙏
Any update?
What was the name of the two tests you said at the end that we should request to confirm it's from muscle and not liver? My ALT/AST has been consistently between 9-21. now I workout hard frequently... it jumped to 43 AST and 58 ALT. doc says to avoid alcohol but I barely drink already. after watching this I think it's from working out.
Creatinine kinase is one test
I think this is my problem, because I workout a lot and lost a tone of weight
How about exercise affecting GGT levels?
Not much GGT in muscle
I'm well aware of a thing called confirmation bias so fighting this, but really appreciate your review of the literature and this case study.
I've been in keto for 1.5 years and had my annual blood work last week. Prior blood test was after 6 months + in keto. ALT and AST were 18/19 a year ago. My ALT in recent test was 47 and AST still around 20. I read that hyperlipidemia from too much dietary fat can stress the liver so that was my initial worry for the increase. But when I saw ALT was release by cellular damage, started looking to see if intense exercise and muscle damage could release ALT.
Main reason... two days before my last bloodwork, I surfed one of the most intense days of my life. 8 hours in the water essentially paddling through sizable surf. After 4 hours I had cramping in my arms, pecs, legs and abs. Thought I should get out, but just paddled through. On keto, I did this with no food that day until afterwards. The day prior I surfed 2 hours and the day after I surfed a few hours. When I saw ALT elevation lasted up to 7-10 days, it just made sense.
It did not make sense that I quit alcohol 4 years ago and have been eating really healthy most of my life with keto and intermittent fasting the last two years and my liver is fatty.
I am transitioning to Mediterranean low carb for a while and get retested in a few months. My traditional LDL metric did go high from keto from 100 to 170. But I got the detailed lipid panel and my small particle count was less than 90 which if off the scale low. Think my increase in LDL is larger particle carrying fat to cells since I'm fat adapted. Not the small LDL increase from sugar-to-fat storage. My triglycerides was super low at 50 and HDL is close to 100. From the data I've read, the TRI/HDL ratio is the better metric for heart health and my numbers are superb. Blood pressure is low and the best in the last 20 years. Resting heart rate last night sleeping was 45.
Thanks again.
You can get a liver ultrasound where they will look directly at the health of your liver. That could rule out non-alcoholic fatty liver, which is associated with ALT over 40.
Does exercise cause low globulin? My a/g ratio is high
no that's inflammation
@@swintegrative Wouldn't high globulin indicate inflammation?
Hello I'm an athlete and Today I got my blood work and it showed an elevation in AST by 54.3 and ALT by 75.0 so is it concerning
yes, need to make sure it is exercise causing
@@swintegrativehow to know if its exercise is causing?
last month pre gym my levels were 15 AST and 24 ALT, this month after I returned to gym after stopping for 5 months or so, I returned last week and hit arms/back 4 days in a row the took my blood test yesterday and my levels jumped from 113 ALT and 237 AST, changed nothing in diet. do u think my return to the gym is the cause? I went pretty hard to the point of my arms being so sore in the morning I had to slowly expand them out lol
Probably but that’s just normal once your body adjusts to the workout they will drop again.
I had the same thing, although not quite as big a jump as yours. I also went from an extremely low-carb diet and very little exercise to now eating more fruits and grains and training harder/more frequently, 4 days a week.
Have a similar experience, AST shot to 83 from 47, although ALT dropped from 54 to 49 . Have been lifting weights too much, way too much, 6 days a week. No alcohol, good diet. Bilirubin is slightly high. Have NAFL though.
any update? is your spike normal?
yes its normal now@@user-kc2jz2yi5k
So I can’t work out anymore??? wtf lol
haha, didn't say that.