16yo male healthy male with c/o inattention and anger issues, labs-ammonia 94(nlup to 32) alkphos185(33-136)other labs all nml- ?workup and rx

May be lab : I will at times see elevated ammonia levels if the specimen is not handled properly and i always repeat those. You can fractionate the alkphos for bone vs biliary system to get better idea if issue or not. If all normal and no cardiac issues and meets criteria for adhd can do low dose stimulant to see if anger issues worsen. May need second med for anger if therapy not helpful.