Hi guys I'm currently on trt and got my latest blood work done and found my liver enzymes are increased I was hoping someone here could shed some light on what may be causing it in my regiment.

Bloods:

Comp. Metabolic Panel (14)
Glucose, Serum 79 mg/dL 65-99
BUN 32 High mg/dL 6-20
Creatinine, Serum 1.14 mg/dL 0.76-1.27
eGFR If NonAfricn Am 86 mL/min/1.73 >59
eGFR If Africn Am 99 mL/min/1.73 >59
BUN/Creatinine Ratio 28 High 8-19
Sodium, Serum 140 mmol/L 134-144
Potassium, Serum 4.1 mmol/L 3.5-5.2
Chloride, Serum 100 mmol/L 97-108
Carbon Dioxide, Total 24 mmol/L 18-29
Calcium, Serum 9.4 mg/dL 8.7-10.2
Protein, Total, Serum 7.2 g/dL 6.0-8.5
Albumin, Serum 4.5 g/dL 3.5-5.5
Globulin, Total 2.7 g/dL 1.5-4.5
A/G Ratio 1.7 1.1-2.5
Bilirubin, Total 1.9 High mg/dL 0.0-1.2
Alkaline Phosphatase, S 39 IU/L 39-117
AST (SGOT) 96 High IU/L 0-40
ALT (SGPT) 70 High IU/L 0-44

Lipid Panel w/ Chol/HDL Ratio
Cholesterol, Total 132 mg/dL 100-199 01
Triglycerides 86 mg/dL 0-149 01
HDL Cholesterol 32 Low mg/dL >39 01


Test, serum >1500 high 348-1197
Free test (direct) >51.0 high 8.7-25.1
Estradiol 224 high 3-70


Current protocol:

Test cyp: 200mg/wk
HCG 500x2 /wk
DHEA: 50mg / daily
vitamin d3: 5000 iu / daily
exemestane: 12.5mg / daily
B12 inject 1ml/ wk

Other supps taken:

BCAAS
10 g creatine/ daily
protein
multivitamin
pregnolone 50mg / daily
cycle support 2 scoops/ daily

I was on niacin 1500mg daily but dropped it to help with my slighty low HDL. Thought this was the culprit however dropping it did not make a huge difference.

I'm going to stop taking such a large amount of creatine and increase my stane dosage obviously my e2 is high.

I'm not taking any oral AAS, only what i have listed above. I also do not drink any alcohol. I do have a very high protein diet. Protein macros are at 350 a day for protein.

Any help would be greatly appreciated!