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liver panel question
Hi all,
I have had an elevated alkaline phospatase (167) when tested in February. I was tested again 2 weeks later and it rose again to 185 and then went down to 167. My doctor has since ordered calcium and phosphorus blood levels, parathyroid hormone levels... these are all normal. AST test is normal too. When they did the test to see where the alkaline is coming from it was coming from the bone more than the liver and intestine (although levels were present from them). I was put on vitamin D tablets as my Vitamin D level was in the normal range but low. I was told to have a blood test in early August and got the results back today. My alkaline phosphate level is 156...so it is going down. They are just going to monitor it. Is this enough? I asked for a liver scan but because the doctor said there isn't much coming from the liver then it's not worth it and they are just going to monitor it every 2 months. I'm worrying again :-( Anyone else had this problem? What should I ask for? Should I be referred to a specialist? It's been going on for 6 months now and still no answers.
Thank you.
P.S No hepatitis was found either.
P.P.S GGT normal at 14.
I have had an elevated alkaline phospatase (167) when tested in February. I was tested again 2 weeks later and it rose again to 185 and then went down to 167. My doctor has since ordered calcium and phosphorus blood levels, parathyroid hormone levels... these are all normal. AST test is normal too. When they did the test to see where the alkaline is coming from it was coming from the bone more than the liver and intestine (although levels were present from them). I was put on vitamin D tablets as my Vitamin D level was in the normal range but low. I was told to have a blood test in early August and got the results back today. My alkaline phosphate level is 156...so it is going down. They are just going to monitor it. Is this enough? I asked for a liver scan but because the doctor said there isn't much coming from the liver then it's not worth it and they are just going to monitor it every 2 months. I'm worrying again :-( Anyone else had this problem? What should I ask for? Should I be referred to a specialist? It's been going on for 6 months now and still no answers.
Thank you.
P.S No hepatitis was found either.
P.P.S GGT normal at 14.
The doctor told me that they had only done one of the tests..can't remember if it was ast or alt. Whichever it was, it was normal. I am being tested again in 2 months so I shall see if the count is any better. Hopefully it will be.
If your doctor has an Ast level, he will also have alt, which is a more important indicator of liver function than Ast.
Thank you for your reply. I don't have the reading for the AST level but I was told it was normal. No risk factor for hepatitis so have ruled that out.
Spoke to doctor again today who reassured me it is nothing to worry about and that it is a vitamin D deficiency...was told that it can take months for the body to absorb Vitamin d tablets I am taking so hence why the Alkaline Phosphate count might not have gone down that much. I'm hoping she is right so that I can stop worrying :o)
Spoke to doctor again today who reassured me it is nothing to worry about and that it is a vitamin D deficiency...was told that it can take months for the body to absorb Vitamin d tablets I am taking so hence why the Alkaline Phosphate count might not have gone down that much. I'm hoping she is right so that I can stop worrying :o)
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