Do you know your CPK level? It can alert you about potential muscle and tendon tears

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Nelson Vergel

Founder, ExcelMale.com
CPK (or CK) is creatine phosphokinase, an enzyme found mainly in the heart, brain, and skeletal muscle. It is tested by taking a blood sample.

High CPK can indicate muscle destruction, heart attacks, central nervous system issues, and others. Long term exposure of high CPK can load up your kidneys, and may cause muscle loss and weakness.

A CPK blood test is usually not included in the usual lab work unless you ask for it. Sometimes we have no symptoms when CPK is high, but most of the time we have body aches and soreness. CPK can increase with exercise, but if you exercise frequently and you have baseline CPK info, you can tell what may be drug induced after you start a certain medication. My CPK is 600, which is very high, but I cannot get off my meds since I am on my last salvage regimen.

To make sure your high CPK is not induced by heavy exercise, do not exercise for 5 days and have another test done after that.

Some medications can also increase CPK. Among them are amphotericin B, ampicillin, some anesthetics, blood thinners, aspirin, clofibrate, dexamethasone, furosemide, alcohol, and cocaine. HIV medications like Isentress and Selzentry have also been reported to increase CPK in some patients.

Low thyroid function can also be a cause of high CPK, so get it checked.

There is no treatment. If CPK gets really high, doctors try to switch you to another medication, but it is very difficult for some patients to switch since they have no other options.

Some doctors prescribe corticoid steroids to reduce whatever the inflammation may be, but this is not a cure. Corticoid steroids can lower bone density, cause water retention and fat gain, and have been linked with joint bone death (necrosis), so they are not a good option to stay on for the long term.

If you are taking statins with or without fibrates, high CPK may indicate muscle related problems that these drugs can cause in some people. Statins (with or without fibrates) can cause rhabdomyolysis which can cause destruction of muscle tissue in few patients and increase CPK. Some patients have anecdotally reported improvements of this problem by taking Coenzyme Q-10 (statins lower it) and a good antioxidant formula.

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Defy Medical TRT clinic doctor
Thanks Nelson. This an important test to have done because it ties into another possible problem for those who perform muscular strength exercise. My personal trainer worked me very hard during a training session. About three days later I had my routine blood work done. The results showed that one of my liver enzymes (AST) was 10X the normal upper limit range. My doctor was very alarmed that my liver was not functioning properly. Turned out that after a five day rest from working out, the liver enzyme test was performed again along with a CPK test. The liver values returned to normal, but the CPK value was high indicating that the increase in AST enzyme was due to muscle breakdown from exercise and not from liver damage. AST is released from both the liver and skeletal muscle upon breakdown. Hope this helps others regarding possible concern with elevated AST values.
 
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