Do intense workouts lead to elevated liver enzyme levels?

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By Chetana Belagere

Jun 04, 2024

Kerala-based hepatologist  Dr Cyriac Abby Philips — popularly known by his X handle TheLiverDoc/@theliverdr — posted about a medical case on Monday, 3 June.

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“Please do not check liver tests right after a rigorous/high intensity work out especially if the work out/gym training was recently started. It often leads to unnecessary testing and panic.”

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Dr Philips is known for his expertise in liver health and his efforts to debunk common myths related to liver diseases. He advocates for evidence-based medical practices and more.

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According to Dr Philips, since this 18-year-old patient’s blood markers showed high AST and ALT on the liver test, a series of tests were done to rule out rare liver diseases.

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According to studies, these elevations are generally benign and reflect muscle damage rather than liver pathology.

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He explained that intense workouts, especially for those new to such routines, could significantly elevate liver enzyme levels which is often overlooked / misdiagnosed by doctors.

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Dr Philips said that in cases like the one cited above, a period of rest, good hydration during workouts and a stepwise increment in exercise schedule would work.

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