- Liver enzymes (AST, ALT, CK) – These can spike significantly from muscle breakdown, especially after resistance training or intense cardio.
- AST and ALT are found in both liver and muscle; intense exercise can elevate them independent of liver health.
- GGT is more liver-specific and less affected by exercise, which is why you see less change there. Still, overall liver enzyme interpretation can be skewed.
- Creatine Kinase (CK) – Huge elevations after training; not a liver enzyme, but often checked in panels. High CK could prompt unnecessary concern if doc doesn’t know you worked out.
- Inflammatory markers (CRP) – May increase temporarily.
- Kidney markers (creatinine) – Slight increase possible due to muscle breakdown and dehydration.
- Testosterone/Cortisol – Acute exercise can raise total testosterone temporarily (especially in athletes), then drop later depending on timing; cortisol rises with intense/long training.
General recommendations:
- At least 48 hours of no intense training before bloodwork if you want a “true baseline” for AST/ALT/CK.
- If that’s impossible, a light rest day before is still better than training the morning of the test.
- Hydrate well the day before to minimize dehydration effects on kidney markers and hematocrit.
Ultimately, if you always train and never rest before bloods, your baseline becomes “trained state” values
just be consistent so you can compare apples to apples over time, and make sure your doctor knows you didn’t rest so they don’t misdiagnose.