Could heavy weight lifting cause elevated liver enzymes?

Not really.: Weight lifting can elevate sgot, an enzyme found in the liver and muscle. Sgpt is more the canary in the cage. If i see someone with SGOT elevations (usually mild) with a normal SGPT (which comes only from liver), i order a cpk, which comes back elevated. I see this frequently in my sports medicine practice, when patients work out in the morning before their appoinment with me!

Yes: Stop any excercise at least 3 hours prior your blood test for liver enzymes.