I've done quite a bit of research on this, and haven't seen much besides a lot of bro-science about liver supplements. Well, before even starting on TRT I knew that I had mildly elevated liver enzymes and because of this my primary care doctor and urologist both have refused to prescribe me testosterone even though injecting testosterone bypasses first pass liver metabolism which is when a lot of liver damage happens. Right now even after being on T for a few months my liver enzymes (AST and ALT both) are very mildly elevated but was told by my endocrinologist that if my enzymes ended up raising more that he would have to stop my testosterone treatment and look into ways of lowering my enzymes before putting me back on it. I have no intentions of stopping testosterone treatment since it's given me my life back, and I want to find the best supplements that I can that will help with lowering liver enzymes back down to acceptable levels.

First and foremost, I've cut out 98% of all of the red meat in my diet...that means nothing that comes from a cow or a pig. My protein intake consists of chicken, fish, and turkey usually which are leaner meats and still give me a lot of protein to work with while exercising. Second, I've read about all of the major liver supplements such as Silymarin (milk thistle), N-Acetyl-Cysteine, something called Essentiale Forte, and TUDCA. I know that UDCA is a prescription medication here in the good ol' United States of Trump, but that supposedly TUDCA and Essentiale Forte - which I think might be pretty much the same thing or close to it - are supplements that provide your liver with gentle bile enzymes that it can break down that help to restore a lot of its function from stuff like cirrhosis and other liver issues. Right now I only take NAC and Silymarin because those are the only two that I know are helpful in protecting the liver from damage but don't necessarily help with your liver if it already is damaged and you have elevated enzymes.

Are Essentiale Forte and/or TUDCA products that I could take along with my NAC, Silymarin, and Omega-3 supplements and help my liver start the process of healing and reduce my AST and ALT numbers? I can see that both TUDCA and Essentiale Forte can be purchased from within the US (I see these supplements on eBay and Amazon both frequently) but wanted some confirmation that this stuff really works like I've read and heard it's supposed to. My weekly T dosage is quite mild compared to a lot of people (only 125mg weekly of cypionate) but I also pin 250 IUs of hCG EOD as well. I've also stopped taking a few of my normal daily medications that can be harsh on the liver (under my doctor's guidance of course) to make sure that my enzymes don't continue to trend upward along with the dieting, but if TUDCA and/or Essentiale Forte work as well as I hope then I've seen that both can be purchased in bulk for pretty cheap since I'd want to purchase at least six months worth of it at a time since I tend to buy in bulk. I keep all of my other gear in large quantities so I only have to make a 2-3 orders a year max, so why not supplements too eh?

If anybody could provide me with their take on this, and if you have any sources of good info, I would really appreciate the input as I'm sure I'm not the only person that has been in this boat before. I've searched a lot of forums (including this one), but as mentioned before I'm trying to keep the bro-science to a minimum and would rather see some factual proof that TUDCA and/or Essentiale Forte work like I hope they do. Thank you for any input, and I look forward to hearing anything you guys have to say about this. Cheers guys!