Doctor insights on:
My Alkaline Phosphatase Is 139
Lab results: You may have a liver problem. See you foctor to get checked out for hepatitis ...Read more
My Alkaline Phosphatase is 139, all other liver test normal. I am currently on Zejula and super anemic.
All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, alkaline phosphatase of 139 alone is not a cause for concern. I trust that you are under the care of a doctor for the treatment of anemia.
Wish you good health!
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
Not a problem: Low alk phos is never a problem. Reference ranges are set so that several percent of healthies arbitrarily fall outside. I'm glad you're interested in your labs but don't worry about this. ...Read more
Elevated Alk Phos: Question would be why is your alkaline phosphatase elevated?? If the levels are abnormal, there is usually a reason. Treating the symptoms without understanding why you have an elevated level is counter-productive. You should see your primary care physicians and have labs re-checked. If it's persistently high, then there should be to a rheumatologist or orthopedic surgeon. ...Read more
Wrong approach: Alkaline phosphatase is a lab value to tell a physician what is happening, not a medical problem to treat. It can be high just because you're growing (teens tend to be maybe 5x the upper limit of the reference range). About 5% of older folks have a high alk phos for "no reason", presumably paget's of the bone that never becomes evident; nonfasting samples may have it from the intestine. ...Read more
Bone turnover : It is an enzyme that is active in the process of bone turnover; so it will be elevated in situations in which bone turnover is high, even in conditions where there is metastatic disease to the bone. Patients with pagers disease have a very high bone turnover rate and a markedly elevated alkaline phosphatase. ...Read more
Above 140IU/L: The normal range is 20 to 140 iu/l in adult. ...Read more
Liver bone & GB: Liver disease, bone disease and gallbladder are most common. However, an elevated alk phos does not absolutely mean there is a true disease present. ...Read more
Nothing,on just one: Test. Have it repeated after a couple of weeks. An isolated result like that means very little. However, a high result indicate a bone or a liver problem, but, as far as I know, a low result means nothing. ...Read more
Plenty: You describe yourself as a 73-year-old lady and I'm betting you feel well but have an alk phos a bit high on your routine chemical profile. Many folks, depending on blood type, shoot the alk phos up after eating. Maybe 5% of folks your age have a high alk phos because of subclinical paget's disease which we aren't going to treat or worry about. "Treat the person, not the labs.". ...Read more
No: It is only bad if it is elevated! So you do not need to worry about a low value as it has no medical significance. ...Read more
I doubt it: At age 38? I'd hope not -- you don't want to shop for new clothes. Many folks spike their alk phos after eating, so often it means nothing. If it's real, and it's more than a wee bit above reference range, it may mean anything from pregnancy to space-occupying lesions of the liver to subtle paget's of the bone (very common), but it almost never worth working up by itself. ...Read more
Liver or bone: Answer can depend on situation. Pregnancy can raise alk phos level. In general, however, the source is either liver or bone and the reason should be determined, since the causes can be treated. There are too many possibilities to list and your doctor will have to determine the source, possibly by doing additional testing. Liver may mean hepatitis or bile duct blockage. Bone can be paget's disease. ...Read more
Relax: First, food choices are almost never the key to getting well. This is rubbish. Second, labs reference ranges are set so that a few percent of healthies fall outside on either end. Third, if the specimen is non-fasting, elevated alk phos means nothing. Fourth, isolated elevated alk phos is not an indicator of any treatable illness. Stop worrying, stay physically fit, and be glad for good health. ...Read more
Alkaline phosphatase was a 56 (low) 6 months ago & when repeated 6 months later, it's now a 45 (low). What does this mean?
Nothing: Reference ranges for labs are set up so that several percent of healthy folks fall outside on either end. ...Read more
No reason.: There are ranges of "normal" for each blood test done. These may be different from one lab to other, depending on the type testing done and reliability of lab. Also, if a specific test is very abnormal and doesn't make sense clinically to the doc, it's probably lab error: just repeat it. That being said, low levels on many tests are not a problem: alk phosphatase is one. 'Fagetabatit'-:). ...Read more
Upper end of normal:
The level is above the upper limit for normal but not by much. All lab results need to be interpreted in the clinical context and you should discuss it with your doctor and see this site for info.
http://www.nlm.nih.gov/medlineplus/ency/article/003470.htm. ...Read more
Normal: No lab value means anything in isolation. Further, assuming the units are IU/mL, this is right in the middle of the reference range. Usually alk phos is part of a panel that's used for health screening. You are probably not a teen in your growth spurt, in the third trimester of pregnancy, a Paget's sufferer, or a person with a liver mass obstructing bile flow. Thanks for asking and best wishes. ...Read more
Bone turnover: Alkaline phosphotase is an indirect measure of bone turnover. Bone remodels like any other living system and this shows how biologically active your skeletal system is. ...Read more
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