Oxandrolone: Light Liver Enzyme Elevation After 4 Weeks – What Should I Watch?

Posted by amber464 in Safety & Side Effects - 1 points, 1 comments.

I’ve been on 20 mg daily of oxandrolone for the past month to help with lean mass gain after a slow recovery. When I did my routine quarterly bloodwork, my ALT bumped up from 24 to 38 U/L and AST from 18 to 27 U/L. For me, that feels like a mild flare, no symptoms, just a number that’s a little higher than baseline. I noticed my HRV dipped slightly during that week, but otherwise I felt fine.

I keep a log of every reading and compare trends. My question is: how much rise is considered safe with oxandrolone, and how often should I retest if numbers stay in that 30‑40 U/L range? Should I add any liver‑supportive supplements, or just keep monitoring? I dels on a small dose of milk thistle and a strict low‑phosphorus diet, but I’d love to hear from folks who’ve seen similar results.

Comments

• leah_m: I’ve seen the same pattern with oxandrolone myself. When my ALT jumped from 19 to 33 after four weeks, I kept a close eye on it. A rise to 30‑40 is mild, but it’s still a sign the liver is working overtime. I usually re‑check every 4‑6 weeks. If it stays under 40 and I stay symptom‑free, I keep monitoring. If it climbs past 45 or I get nausea or fatigue,_WIDTH I pull the stick. I do a handful of milk thistle and NAC, and I watch my protein and phosphorus closely. How long do you keep it going

Community discussion - research and educational context only. Not medical advice.