Magno Liver
ALT on TRT
What the number means, why it moves on a protocol, and what people usually do about it.
What it is
ALT is the liver enzyme most specific to the liver, and it also leaks from muscle after training. On a protocol it is the marker orals push up.
The range
TRT-aware target
under 40 U/L
How to read the lab range
Labs quote up to about 40 to 50 U/L. Under 1.5 times the upper limit after training is noise; above three times, or rising with GGT, is the liver.
Why it moves on a protocol
- Oral 17-alpha-alkylated steroids (Anavar, Winstrol, Dianabol, Superdrol), the number one cause.
- Heavy training within two days of the draw.
- Alcohol, high-dose paracetamol, some fat burners.
- Fatty liver after a long bulk.
What people usually do · not a recommendation
- Stop or shorten the oral and retest in two to three weeks.
- TUDCA (500 to 1000 mg) and NAC (600 to 1200 mg) are the standard liver supports in AAS circles.
- No training for 48 hours before the next draw.
How Magno reads it
Import the PDF or a photo of the report and Magno finds ALT on it, keeps every test on one line, shows the change since the last one, and reads it against TRT-aware thresholds rather than the lab's generic range. The panel it belongs to, Liver, gets a written verdict with the probable causes and what people usually do.
Read yours
Drop your lab PDF or a photo and get every marker read like this, in plain words. Free, no account, nothing leaves your browser. Save it in the app to see the change since your last test.
Questions people ask
ALT 60 after leg day, is that the liver?
Most likely muscle. Check GGT and CK: a normal GGT with a high CK says training. Retest after two easy days.
How high is too high on an oral?
Above three times the upper limit people stop the oral; with yellowing, dark urine or pain, they see a doctor, not a forum.
Related markers
Not medical advice
This is how experienced TRT users read the number and what they usually do about it. Every decision about your protocol belongs to you and a clinician who knows you.