Clean Bloodwork, Wrecked Prep: What The Panel Missed

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Paul Romzek ran the best prep of his life — 25 to 30 pounds gone in eight weeks, food staying high, looking incredible on the way to a Junior Nationals qualifier — and then his body forced a decision no competitor wants to make. Alongside his coach Dom Kuza, a prep-and-healthspan specialist who has taken clients from an eGFR of 40 back to 110, Paul walks through the aggressive SS-31 and MOTS-c protocol that made the prep so smooth, the reflux and vomiting that quietly escalated into a 3AM hospital call, and the bloodwork that made the whole thing a mystery.

Here's the part that'll get you: his liver panel came back almost clean while he was on orals — so what nearly ended him? This is the rare enhanced-athlete conversation that isn't about pushing harder. It's about knowing when to pull the plug, why "I'll die early, it was worth it" is a story these two refuse to accept anymore, and how Paul walked away from bodybuilding at 27 with markers most naturals would envy. If you compete, coach, or run anything on cycle, this one could save you a hospital visit.

KEY TAKEAWAYS:

• Why a near-flawless prep still had to be called off — and the exact symptom that forced the decision
• The bloodwork lesson most coaches miss: why "normal" liver enzymes can hide the real problem, and where to actually look
• Dom's sequencing logic for priming hard responders before an aggressive diet — and why order matters
• The allostatic-load explanation behind the reflux, plus the cheap gut-repair stack that finally fixed it
• The longevity case against "dying early is the price" — and why walking away at 27 was the smartest rep of his career