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Message: <blockquote data-quote="Systemlord" data-source="post: 155540" data-attributes="member: 15832">Liver disease is the most common reason for higher than normal levels of ALT. Some of these antidepressants can increase liver enzymes.Have you ever tried TRT without HCG?Reason I ask is because this wouldn't be the first time someone didn't do well on HCG, it can cause mood problems.Personally I would want TSH lower and Free T3 higher, your Free T3 levels are a little underwhelming and are barely midrange.</blockquote>