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

Posted by amber464 in Safety & Side Effects - 1 points, 0 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.

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