The very high CK levels indicate muscle breakdown. This could be an inflammatory / autoimmune
disease of muscle tissue....polymyositis or dermatomyositis would be diagnostic possibilities.
Heavy exercise can cause transient elevations of CK but your values seem too high for just that.
You being active duty may mean that you have to do your best to stay in shape but I would keep exercise as moderate as possible until a better handle was gained on your condition.
The slight elevated AST is only mildly elevated on this one liver enzyme. It being under 100 may indicate little significance ...so the liver enzyme is only mildly elevated...it could be part of a more general inflammatory process.
I don't think that CFS fits as that is condition of chronic fatigue without other clear explanation. The source of your muscle inflammation is the source of your aches and fatigue.
I would ALSO have concern that you may have some subtype of muscular
Your condition should also be reviewed in light of any medications that you may have been taking. Muscle inflammation is potential side effect of certain medications.
Drink plenty of water !! Too much muscle breakdown may also risk your kidney function....
I hope that this information is helpful. Let me know if you have further questions or discussion. I will be happy to get back with you.
If my answers have been helpful and to your satisfaction then please remember to leave positive feedback. THank you and Best Regards,
Anthony Bray MD