A member asked:

My blood work showed a level of 228 for alkaline phosphatase test. will i need more test? what could it mean?

4 doctors weighed in across 3 answers

need more tests: Elevated alkaline phosphatase can be caused by a problem with your bones or your liver. We need more information to determine where the problem is.

Answered 10/13/2013

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Dr. Edgar Mendizabal answered

Specializes in Internal Medicine

Need GGT level: If high, liver disease, if normal Paget's disease of the bone.

Answered 2/18/2015

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Dr. Steven Chmielewski answered

Specializes in Diagnostic Radiology

Yes: An elevated alkaline phosphatase will need to be evaluated with additional blood tests to determine why it is elevated. Most commonly this is due to some form of insult to the liver, usually alcohol. But even a cold can cause an elevated alkaline phosphatase. If your other liver enzymes are elevated, particularly, ggt, your doctor will likely order an ultrasound.

Answered 7/19/2018

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