Magno

Metabolic

Creatine kinase (muscle) on TRT

What the number means, why it moves on a protocol, and how it sits with related markers.

Updated 2026-11-08 · Part of the Magno guides

What it is

Creatine kinase leaks from muscle when it is worked or damaged. Lifters often run high CK; it is what can make ALT and AST look like a liver problem when they are not.

The range

How to read the lab range

Lab ranges top out around 200 to 300 U/L. Two days after a hard session it can read in the thousands. Very high CK with dark urine is a medical problem, not a training one.

Why it moves on a protocol

How Magno reads it

Magno keeps every test on one line, against your lab's range, with the change since last time. Pro explains it in plain words. Get Magno for iPhone.

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Questions people ask

High ALT and high CK, is my liver damaged?

Not necessarily. ALT and AST leak from muscle too. A normal GGT with a high CK points at muscle rather than liver.

Related markers

Not medical advice

This explains what the number is and why it moves. It is not medical advice; decisions belong to you and your clinician.