ALT is markedly elevated, with AST also elevated to a lesser degree. Gamma GT, Alkaline Phosphatase, Total Bilirubin, Albumin, Total Protein, and Globulin remain stable, which keeps the signal localised to enzyme elevation rather than a broader shift in liver panel balance. With frequent training, AST can be exercise-sensitive, which is relevant context alongside the larger ALT rise.

Neutrophils are reduced, while White cell count is maintained and the remainder of the differential is stable. Haemoglobin, Haematocrit, Red Blood Count, and red cell indices are coherent, and Platelets and MPV are stable, making this an isolated white-cell subtype shift rather than a broad full blood count pattern.

Homocysteine is mildly elevated. Active B12 and Serum Folate being normal makes B-vitamin deficiency unlikely as the cause, and levels can vary with age, sex, and intercurrent illness. Normal thyroid markers and an optimal High Sensitivity C-reactive Protein are reassuring in the wider context provided. Higher homocysteine levels are associated with heart disease and cognitive decline.

Urea is mildly elevated while Creatinine and Estimated GFR remain stable, indicating preserved filtration. Higher protein intake is relevant context here given reported daily protein intake above 160 g.

Apolipoprotein B is in a strong low range with Apolipoprotein A1 high, giving an excellent Apo B / Apo A1 Ratio. Triglycerides and VLDL are tightly controlled, and the Total Cholesterol / HDL Ratio and HDL % of total reinforce a favourable overall lipid pattern. Uric Acid sits above its optimal band, but the particle and ratio profile remains clearly strong.

Ferritin is in an excellent range, and Serum Iron, Transferrin Saturation, Transferrin, and Iron Binding Capacity are coherent, reflecting well-regulated iron availability and storage.

High Sensitivity C-reactive Protein is in an excellent low range, indicating a very low inflammatory signal at the time of testing.

Cortisol (7-9am) is in the optimal range, reflecting a well-aligned morning cortisol level for this sampling window.

HbA1c sits in the higher end of the normal range, indicating a normal average circulating sugar over the past 3 months. Insulin is in the optimal range, with no sign of insulin resistance.

In a male patient, Testosterone is in an optimal range, which is a strong result for hormonal health and physical performance capacity. Sex Hormone Binding Globulin and Free Androgen Index are balanced, supporting that the testosterone reading is not being obscured by binding effects. Luteinising Hormone and DHEA-S are stable, reinforcing an overall coherent androgen profile.

Thyroid Stimulating Hormone sits within range with Free T4 and Free T3 maintained, indicating normal thyroid function with preserved hormone output.

Sodium, Potassium, and Chloride are well regulated, and Calcium with Corrected Calcium and Phosphate are stable. Magnesium sits at the higher end of the reference range, consistent with an overall steady mineral profile in the context of magnesium supplementation.

Vitamin D is above the optimal band while remaining within the laboratory’s normal-high range, indicating a higher vitamin D status than targeted by the optimal range.

Creatine Kinase is within range. Given frequent strength and high-intensity training, a normal Creatine Kinase supports good tolerance and recovery under regular training load.