Next long cycle and blood work. Any suggestions ?

[SampsonandDelilah]

AST/ALT values are health skewed on muscle bound guys as well. Muscle that is continuously broken down is excreted through the liver and can alter these values. Mine have been continually out of range for years and have never given my clinician cause for concern. I’ve probably been examined more in the last 18 months than anyone on this forum.

The orals and diet certainly aren’t helping as well, but wanted to add that anecdotal component about muscle protein and AST:ALT values

[Marcus G]

AST/ALT values are health skewed on muscle bound guys as well. Muscle that is continuously broken down is excreted through the liver and can alter these values. Mine have been continually out of range for years and have never given my clinician cause for concern. I’ve probably been examined more in the last 18 months than anyone on this forum.

The orals and diet certainly aren’t helping as well, but wanted to add that anecdotal component about muscle protein and AST:ALT values

Although this is correct some of his white blood cells are also out of range which could indicate again as rightly said by yourself muscle breakdown, especially with the elevated AST and ALT and getting ck and GGT checked would confirm this but also could mean some sort of immune system response to a virus or infection (doubtful).