Any Doc here, help me with this liver values going up

[MrRTTB]

My livervalkues were pretty high probably due to alcohol every weekend for about 3 months(nothing much but if yoy drink 3-4 glasses of wine every weekend the liver will never get back to normal).

Now, I havn't touched alcohol what so ever since january. I went to the doc and my liver values was still elevated. It's the S-alat and s-asat that is over normal. S-alat was 1.2 and maximimum is 0.7, my s-asat was 1.8 and maximum is 0.7. Since öast time I took these values my alat has gone down from 2.7, that's positive. But my asat has gone up from 0.8 to 1.8 and that is strange. I'm not using any orals at all, only proionate since 2 weeks back, tren 1 week back and eq 2 weeks back. Test at 500mg per week, tren 400mg per week and eq 400ng per week. I take ALA and vitamines and all that, also doing nolvadex and arimidex.

Anyway. What more will effect the values?

I have not ben sleaping as I should, can that be negative on the values?

I have been workoing out 5 days per week, can that be it?

The protein amount I've heard can effect them badly, so I guess that might be one reasoin but it doesn't feel the values would go up from 0.8-1.8 just because I start bulking, or? I still eat clean, low fat, high carbs high protein.

also, I'm taking about 60-75mg Zink per day, can this be BAD for my livervalues?


Any idea on what I should do to get them down as much as possible i 2 weeks time..? I really would need the help

 

[embolicintent]

That is a hard question to answer...

In the US we use a different measurment system and slightly different terminology than what you are reporting. When you use S-asat I am going to assume that is the abbreviation for Aspartate aminotransferase which we abbreviate AST or in the old terminology SGOT. Likewise I am assuming S-alat is Alanine aminotransferase aka SGPT. With the difference in measurement system it is hard for me to correlate the level of elevation. Here we use units/liter where normal is around 7-40. However, just doing the math it seems as if your levels are just over 2x normal. Before your ALT was about 4x normal. Assuming this is correct, those values are not alarming. A lot of other tissues contain considerable amounts of AST, but ALT is primarily found in the liver. The kidney also contains considerable amounts of both enzymes. Thus you can assume your elevation is from either the kidneys (Not likely) or the liver (much more likely). Next you can look at the pattern of enzymes to try and further localize the damage. With hepatitis you get hepatocyte (liver cell) wall destruction which releases large amounts of AST, ALT, and Lactate Dehydrogenase (LDH) into the bloodstream. With acute hepatitis those levels get very high generally in the thousands. In chronic hepatitis the levels can be low or quite often normal depending on the amount of liver damage done.

On the other hand, when mitochondria within the liver are damaged such as in alcoholic damage, Primarily AST levels are elevated with lesser degrees of ALT elevation. Classically people say a 2:1 ratio. If you have obstruction of the bile duct(s), then you tend to also get elevations of alkaline phosphatase and Gamma Glutamyl Transferase (GGT) as membranes are dissolved.

With hepatocyte injury (hepatitis) there is a small window of time when AST is greater than ALT because of higher of higher cell concentrations. But within 24-48 hours you see rapid clearing of AST levels while ALT levels remain elevated due to slower clearance mechanisms. Thus the picture in summary is both enzymes quite high with AST briefly higher then ALT then becoming the more elevated of the two.

With alcohol damage on the other hand, AST will always be around 2-3x higher than ALT levels and will remain in this pattern for several days and then slowly return to normal.

Thusthe picture you present gives me the impression of 1. something is damging your hepatocytes. The picture seems to be one of the first set of enzymes representing a somewhat more remote damage maybe resolving with the new enzymes pointing to a more recent episode(s) of damage. Thus it would be my guess that whatever was damaging your liver is still doing so. While Orals are known to do liver damage, it is often overlooked that test can damage the liver even in its injectable forms. Overwhelmingly this is the likely culprit. None the less, you should have your other enzymes checked if not already done, and you should be tested for Hepatitis A,B, and especially C. Assuming those are normal, I would reccomend stoping all AS as well as all other unnecessary medications/supplements for 2-3 months and then getting rechecked.

as for sleep- no not really. Protein- possibly, but only if you have suffered kidney damage from this (Unlikely). As for zinc, I am not aware of liver damge from it, but there are a lot of things that I am not aware of JMHO.