You HARD workout nuts (like me) be aware that your protein enzyme blood tests will show muscle damage when you go for your physicals.
Try to convince your physician that you work out very, very hard, until total muscle exhaustion, repeatedly, and the blood enzymes showing damage is a badge of honor and proof your efforts are taking hold.
I don't need a physical to tell me.
My muscles that are being exercised start vibrating,...and the whole machine starts vibrating...that's the time to hold the weights for another 10 seconds and then ease off.