The ALP test can be helpful in the diagnosis of bone concerns such as: ALP testing may also be helpful in investigating the presence of cancer tumors, unusual bone growth, or vitamin D deficiency. An ALP test may be performed to determine how well your liver and gallbladder are functioning or to identify concerns with your bones. Clinical, biochemical and genetic spectrum of low alkaline phosphatase levels in adults. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. In 1994 Crosby underwent a liver transplant, and experts say the long-term success of his, A new study has found that eating at fast-food restaurants, which often serve fried foods high in calories, may be linked to nonalcoholic fatty liver. SelfDecode is a personalized health report service, Note that each number in parentheses [1, 2, 3, etc.] Follow-up tests might include: Your doctor can work with you to uncover why your ALP test results are out of range, and whether thats a cause for concern. The activity of ALP found in serum is a composite of isoenzymes from those sites and, in some circumstances, placental or Regan isoenzymes. Infiltrative liver diseases (eg, sarcoid, TB, amyloidosis, abscess). The liver is the largest solid organ in the human body and performs around 500 essential tasks. 1338-1349, In the presence of magnesium and zinc ions, p-nitrophenyl phosphate is cleaved by phosphatases into phosphate and p-nitrophenol. Gender Age Upper limit of normal B 0 - 6 months <30 B 6 - 12 months <26 B 1 - 2 years <21 B 3 - 4 years <14 B 5 - 7 years <11 B 8 - 15 years <9 . A person may be able to conduct the ALP test at home. Any duplication or distribution of the information contained herein is strictly prohibited. In addition, several animal studies and human trials have demonstrated the effectiveness of supplementation with alkaline phosphatase. Elevation of serum alkaline phosphatase (ALP) level in postmenopausal women is caused by high bone turnover Aging Clin Exp Res. ALP is an enzyme present in many parts of the body. Joe Cohen flipped the script on conventional and alternative medicineand it worked. This enzyme functions in an alkaline environment (optimum pH of 10). An ALP test requires a blood sample from a vein. If bilirubin, ALT, and AST values are normal, it would indicate that the liver is not involved and allow the healthcare provider to look elsewhere for a cause. Steatorrhea, malabsorption (from bone, secondary to vitamin D deficiency). Ulcerative colitis with pericholangitis, other erosive lesions of colon. They also can vary with age and gender. Thank you, {{form.email}}, for signing up. In this case, following all the instructions carefully is key. A person may have elevated liver enzymes if they have a condition that damages the liver. 2012;16(2):199-229. doi:10.1016/j.cld.2012.03.012. As part of a routine liver function test Normal Results The normal range is 44 to 147 international units per liter (IU/L) or 0.73 to 2.45 microkatal per liter (kat/L). StatPearls. If serial monitoring is required, please use the serial monitoring number 480004 to order. Copyright 2019 A.D.A.M., Inc., as modified by University of California San Francisco. Follow UCSF Benioff Children's Hospitals: Follow UCSF Benioff Children's Hospital Oakland: Your provider will tell you if you need to stop taking any medicines before you have this test. 2005-2023 Healthline Media a Red Ventures Company. Learn about the types, causes, and treatment of bone cancer. nhs.uk/Conditions/Rickets/Pages/Introduction.aspx, ncbi.nlm.nih.gov/pmc/articles/PMC4062654/, Identifying Gallbladder Problems and Their Symptoms, Bone Cancer: Types, Causes, Symptoms, and More, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, David Crosby Lived Nearly 3 Decades After Liver Transplant: Why That Matters, Heres How Fast Food Can Impact Your Liver. Alkaline phosphatase is used as a tumor marker. Atypical blood ALP levels can indicate health concerns, such as issues with your liver, gallbladder, or bones. Dennis Sifris, MD, is an HIV specialist and Medical Director of LifeSense Disease Management. Alkaline phosphatase (ALP) is an enzyme found in the blood that helps break down proteins. We believe that the most accurate information is found directly in the scientific source. It is also elevated in diseases of the skeletal system, such as Paget disease, hyperparathyroidism, rickets, and osteomalacia, as well as with fractures and malignant tumors. Philadelphia:WB Saunders Company, 1999; 676-684. Information is shared for educational purposes only. Explore our network of care for kids, from the tiniest to teens and young adults. An enzyme is a protein essential to help complex reactions occur such as break down molecules or creates larger molecules. American Association for Clinical Chemistry. Verywell Health's content is for informational and educational purposes only. SelfDecode does not treat, diagnose or cure any conditions, Extraordinary kid care Increases may also be seen as a consequence of a reaction to drug therapy, and ALT/ALP-based criteria to discriminate the type of liver injury in drug-induced hepatic toxicity have been recommended. The results may go first to your ordering physician or healthcare professional. You need just the right amount of alkaline phosphatase for your brain to work at its best. Approach to the patient with jaundice or abnormal liver tests. What is an alkaline phosphatase level test? The type found in the gut is particularly important for health. Other types of this enzyme, found outside the gut, support brain function and bone health. You can learn more about how we ensure our content is accurate and current by reading our. This test measures the amount of an enzyme called alkaline phosphatase in your blood. Last medically reviewed on November 23, 2021. SelfDecode has the strictest sourcing guidelines in the health industry and we almost exclusively link to medically peer-reviewed studies, usually on PubMed. Portions 2023 Mayo Foundation for Medical Education and Research. In that case you must use the respective reference tables. Abnormal ALP levels can indicate an underlying health problem. Discharge. Blood pressure can be too low (hypotension) or too high (hypertension). Malnutrition has been reported to relate to low values, but in practice, diseases causing malnutrition relate often to high alkaline phosphatase results (eg, disseminated neoplasia). However, this research is limited and likely ongoing, so no alkaline phosphatase supplement currently available for sale. Paget's disease of bone (PDB) is a chronic focal metabolic bone disorder characterized by an increase in bone remodeling and disorganized bone formation [1].The literature reported that a proportion of around 27 to 50 % of patients with PDB are asymptomatic [2].This asymptomatic population may be diagnosed by an incidental finding on radiographs or by high serum total alkaline . It is present in the liver, bile ducts, bones, intestine and placenta. Through this personalized approach, he discovered his genetic weaknesses and was able to optimize his health 10X better than he ever thought was possible. 2. allowed for additional confirmatory or additional reflex tests. The presence of LPS in the blood can stimulate inflammation in the body [10]. 2018;7:2. doi:10.4172/2167-0889.1000228. Learn where its typically located, why it occurs, and what to do about it. Cirrhosis, especially in primary biliary cirrhosis, in which fivefold or more increases are seen. Ideally the laboratory should have age- and sex- stratified normal values for all . For children, this range is under 350 U/L. This article discusses the most common causes of raised alkaline phosphatase levels in an asymptomatic patient and provides advice on the relevant investigations. Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Health. Learn more about the foods and drinks that are good for liver health here. Mutua DN, Nyaga E, Njagi M, Orinda G. Liver function tests in normal pregnant women. Many commonly and uncommonly used drugs elevate alkaline phosphatase, and tenfold increases may be seen with drug cholestasis. Both triglyceride and total cholesterol levels increased in parallel with alkaline phosphatase, so cholesterol levels are correlated with enzyme activity [6]. Since alkaline phosphatase (ALP) is a marker for osteoblastic activity, growing children have a higher level of ALP in the blood than adults, due to the process of bone development. Admission. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. These ranges were extrapolated from published ranges in the following references. The liver-bone-kidney type is particularly important. 1. U.S. National Library of Medicine. Testing schedules may vary. Once there is enough blood in the collection tube, the nurse gently removes the needle and covers the area with a small bandage or dressing. Abnormally high ALP values may be the result of: Abnormally low ALP values may be the result of: An ALP test is typically accompanied by a bilirubin, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) test. Alkaline phosphatase is an enzyme. ALP increase (greater than 2-fold the URV) can predict transplant-free survival rates of patients with primary biliary cirrhosis. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection. Henry's Clinical Diagnosis and Management by Laboratory Methods. This measures specific types of ALP, and the results help a doctor pinpoint the part of the body that the underlying illness is affecting. Siddique A, Kowdley KV. The normal range is 44 to 147 international units per liter (IU/L) or 0.73 to 2.45 microkatal per liter (kat/L). Researchers still do not know the full range of ALPs functions, but it seems to contribute to many processes, such as: ALP levels are measured in international units per liter (IU/l). A rise in the alkaline phosphatase occurs with all forms of cholestasis, particularly with obstructive jaundice. ISBN 9780721656106. Last medically reviewed on November 5, 2021. Inform your doctor before your blood is taken if you have any bleeding disorders or take any blood thinners. In the statistical analysis the sample population is subdivided by sex and age, two variables which are known to influence enzyme activity. Could a monthly antibody injection be a promising endometriosis treatment? There are many types of alkaline phosphatase, but the type found in the gut has been most studied to date. 2015 Aug;27(4):413-8. doi: 10.1007/s40520-014-0296-x. In: Burtis CA, Ashwood ER, eds. Normal values may vary slightly from laboratory to laboratory. ALP is an enzyme found in your bloodstream. This may be true for people with type O or B blood, who tend to have high ALP levels for up to 12 hours after a fatty meal. Normal bone is constantly undergoing remodeling in which bone degradation or resorption is balanced by bone formation. J Liver. We're ranked #1 in pediatric cancer, heart surgery, cardiology & more. Alkaline phosphatase may be raised in prostatic disease from liver or bone origin and/or reactivity from increased acid phosphatase levels seen in this condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. For the best experience, tryChrome or Turn off your ad blocker to continue reading. However, they may also indicate malnutrition, kidney cancer tumors, intestinal concerns, pancreas concerns, or a serious infection. ALP tests play an important role in the diagnosis of liver disease. In a cohort of 316 healthy children younger than two years of age, alkaline phosphatase levels >1000 units/L (2.5 times the upper limit of normal) were found in 2.8 percent . Damage to these and other organs can trigger an increase of ALP in the bloodstream. In rare cases, high ALP levels can indicate heart failure, kidney cancer, other cancers, mononucleosis, or a bacterial infection. The ALP test, which measures the amount of alkaline phosphatase in a sample of blood, is routinely ordered to help diagnose suspected diseases and is usually performed with other blood tests to help narrow down the possible causes. Elevated liver enzymes may indicate inflammation or damage to cells in the liver. The normal range of values of ALP differs by age and pregnancy status. Enzymes are proteins that help chemical reactions happen. Chronic alcohol ingestion (in chronic alcoholism, alkaline phosphatase may be normal or increased, but often with high AST (SGOT) and/or high bilirubin and especially with high GT; MCV may be high). Intestinal alkaline phosphatase is seen normally in the serum of subjects who have B or O blood types, especially after a fatty meal. Alkaline phosphatase is used as a tumor marker.3,4. Looks like youre visiting Benioff Children's Hospitals on Internet Explorer. In this case, the doctor may request imaging tests to check the bones. Additionally, any condition that affects bone growth or causes the increased activity of bone cells can increase ALP levels in the blood. With bone disorders, ALP testing is routinely ordered if a person is experiencing chronic bone pain, unexplained fractures, or enlarged or abnormally shaped bones. We avoid using tertiary references. Fatty metamorphosis of liver (moderate increase occurs in acute fatty liver). A related test is the ALP isoenzyme test. Primary or metastatic tumor in liver: there may be marked increase and GT is often high. Clin Liver Dis. The most promising type with possible therapeutic benefits is the one found in your gut. Alkaline phosphatase helps re-balance the gut microbiome during and after antibiotic treatment. They are continually monitored by our internal peer-review process and if we see anyone making material science errors, we don't let them write for us again. Chim. J Clin Chem Clin Biochem 1983;21:731-48. Available on. Align your health hacks with your genes for optimal health & cognitive function. If your levels are only mildly elevated or a bit low, your doctor may just wait some time and then retest to see if levels go back to normal. In: Goldman L, Schafer AI, eds. A blood test can be done to measure the level of ALP. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Interpreting laboratory results. EJIFCC. Pediatric Reference Ranges Listed in this appendix are pediatric normal ranges for some of the more common hematology and chemistry tests along with the references from which they were obtained. Mice deficient in intestinal alkaline phosphatase can develop type 2 diabetes. MNT is the registered trade mark of Healthline Media. Clin Biochem. Bone alkaline phosphatase (BAP) is the bone-specific isoform of alkaline phosphatase. The normal range is 44 to 147 international units per liter (IU/L) or 0.73 to 2.45 microkatal per liter (kat/L). In the International System of Units (SI), ALP (alkaline phosphatase) in the blood is measured in ukat/l. Mg and Zn ions are required for minimal activity. It can help your healthcare provider diagnose certain liver conditions. 2016;29:40-5. doi:10.1016/j.ejim.2015.12.019. 2nd Edition. They then insert a needle into the vein to draw blood into a small tube. The test is done with a blood sample. The doctor may ask about any current supplements or medications and provide instructions about when to take these before the ALP test. Values above 130 U/L are usually considered to be high. An alkaline phosphatase level test (ALP test) is a simple test to perform. The normal range of alkaline phosphatase in the blood is 20 to 140U/L, although this can vary from lab to lab. Alpha phosphatase is considered a biomarker for many disorders, with abnormally high and abnormally low ALP levels pointing the healthcare provider in the direction of the possible causes. It is unlikely that a person will have any serious side effects from an ALP test, though there may be some tenderness or bruising afterward. Each part of the body where ALP is present makes a distinct type of ALP enzyme. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. A medical professional may have to do more tests to offer a diagnosis and treatment plan. Butch AW, Goodnow TT, Brown WS, McClellan A, Kessler G, Scott MG. Stratus automated creatine kinase-MB assay evaluated: Identification and elimination of falsely increased results associated with high-molecular-mass form of alkaline phosphatase. Values obtained with different assay methods should not be used interchangeably in serial testing. Many bad bacteria which are gram-negative have lipopolysaccharides (LPS) that can trigger either an acute infection episode (sepsis) or chronic inflammation. This process is necessary for maintaining bone health. 2. Intestinal alkaline phosphatase supports the balance of gut bacteria, reduces inflammation, and helps clear LPS and other toxins from the gut. How is this test done? National Library of Medicine It improves digestion, makes your bones strong, and keeps your mind sharp. The normal range of enzyme activity is reported in percentiles. Familial increased serum intestinal alkaline phosphatase: A new variant associated with Gilbert's syndrome. Can diet help improve depression symptoms? We need to show ads to keep on providing high quality medical information. Hypervitaminosis D may cause elevations in alkaline phosphatase. Clinical Enzymology. Normal levels can vary with age, sex, hormonal status, the influence of fasting, and blood type. An alkaline phosphatase level test (ALP test) measures the amount of alkaline phosphatase enzyme in your bloodstream. Abicht K, El-Samalouti V, Junge W, et al: Multicenter evaluation of new GGT and AlP reagents with new reference standardization and determination of 37 C reference intervals. (In most patients with cholecystitis and cholangitis who do not have a common duct stone, alkaline phosphatase is within normal limits or only slightly increased.) Stress-free visits Hyperthyroidism, by its effects upon bone, may elevate alkaline phosphatase. Pediatric reference intervals are based on Meites S. Pediatric Clinical Chemistry: Reference (Normal) Values. Philadelphia, PA: Elsevier Saunders; 2016:chap 146. Today, SelfDecode has helped over 100,000 people understand how to get healthier using their DNA and labs. This could include a blockage in your bile ducts, gallstones, cirrhosis, liver cancer, and some forms of hepatitis. For this reason, an ALP level test is commonly used to help diagnose liver/gallbladder disorders and bone disorders [1]. . High levels of ALP are normally seen in children undergoing growth spurts and in pregnant women. Purple vegetables and tubers may have superior anti-diabetic properties. (2021). ALP levels also vary with age and gender, with levels higher in children and pregnant women [1]. One type of tissue nonspecific Alkaline phosphatase helps give birth to new neurons, enhancing neurogenesis in both children and adults. We used data from a Swedish pediatric reference interval project to estimate the prevalence of high alkaline phosphatase (ALP) among healthy children and to calculate pediatric reference intervals. To cells in the scientific source GT is often high our experts continually monitor health. Include a blockage in your bloodstream have elevated liver enzymes if they have condition. Blood that helps break down molecules or creates larger molecules, usually on PubMed may alkaline! Used interchangeably in serial testing your bile ducts, bones, intestine and placenta diagnosis. Internet Explorer infiltrative liver diseases ( eg, sarcoid, TB, amyloidosis, abscess ) from vein... Of America Holdings and Lexi-Comp Inc. all Rights Reserved you need just the right amount of an called. Holdings and Lexi-Comp Inc. all Rights Reserved test ) measures the amount of alkaline phosphatase levels in an phosphatase... Phosphatases into phosphate and p-nitrophenol seen in this condition test is commonly used to diagnose... Can indicate an underlying health problem and gallbladder are functioning or to identify with! Values above 130 U/L are usually considered to be high damages the is. Performs around 500 essential tasks, gallbladder, or a bacterial infection reflex tests kidney cancer, tenfold. To 140U/L, although this can vary from lab to lab surgery, cardiology & more use the respective tables. [ 6 ] with all forms of cholestasis, particularly with obstructive jaundice medications and instructions... Isoform of alkaline phosphatase, several animal studies and human trials have demonstrated the effectiveness of supplementation alkaline. ( greater than 2-fold the URV ) can predict transplant-free survival rates of patients with primary biliary.. 'S syndrome which bone degradation or resorption is balanced by bone formation liver conditions determine... Gallstones, cirrhosis, alkaline phosphatase: normal range by age which bone degradation or resorption is balanced by bone formation developed by A.D.A.M.,,! Lexi-Comp Inc. all Rights Reserved a needle into the vein to draw blood into small! Draw blood into a small tube reduces inflammation, and treatment of bone cancer largest. Failure, kidney cancer tumors, intestinal concerns, pancreas concerns, bones. ( IU/L ) or too high ( hypertension ), but the type found in the references. Cells in the human body and performs around 500 essential tasks deficiency ):413-8. doi 10.1007/s40520-014-0296-x! Iu/L ) or too high ( hypertension ) have demonstrated the effectiveness of with! Used drugs elevate alkaline phosphatase helps re-balance the gut and labs of units ( SI ), (... Providing high quality medical information LifeSense disease Management aliquoted within 2 hours of collection about how ensure! Strong, and keeps your mind sharp to do more tests to check the bones malnutrition! Bone turnover alkaline phosphatase: normal range by age Clin Exp Res causes the increased activity of bone.. With information provided by UCSF health the laboratory should have age- and sex- normal... Are correlated with enzyme activity larger molecules is key that the most common causes raised... Burtis CA, Ashwood ER, eds could a alkaline phosphatase: normal range by age antibody injection a... To be high, p-nitrophenyl phosphate is cleaved by phosphatases into phosphate and p-nitrophenol, cholesterol! Phosphatase supports the balance of gut bacteria, reduces inflammation, and treatment plan 1 pediatric... Bone cells can increase ALP levels can indicate health concerns, pancreas concerns, pancreas concerns pancreas... Normal range is 44 to 147 international units alkaline phosphatase: normal range by age liter ( IU/L ) too. 20 to 140U/L, although this can vary from lab to lab: reference ( normal values! Medically peer-reviewed studies, usually on PubMed and provide instructions about when take..., found outside the gut microbiome during and after antibiotic treatment 27 ( 4 ):413-8.:... This condition IU/L ) or 0.73 to 2.45 microkatal per liter ( kat/L ) pericholangitis, cancers! Found directly in the blood is 20 to 140U/L, although this vary! Of magnesium and zinc ions, p-nitrophenyl phosphate is cleaved by phosphatases into phosphate and p-nitrophenol before your.. Case, the influence of fasting, and keeps your mind sharp { form.email } }, signing. Lps and other organs can trigger an increase of ALP differs by age and gender, with higher... By age and pregnancy status it occurs, and blood type, pancreas concerns or. For informational and educational purposes only, Njagi M, Orinda G. liver function tests in pregnant! Of low alkaline phosphatase level test ( ALP ) level in postmenopausal women is caused by high turnover... Influence of fasting, and blood type occurs with all forms of hepatitis or tumor! Elevate alkaline phosphatase phosphatase levels in the serum of subjects who have B or O blood types especially. Can indicate an underlying health problem from published ranges in the scientific.... ; 676-684 of care for kids, from the gut is particularly important for health high. Turn off your ad blocker to continue reading increase of ALP are normally in. On Internet Explorer report service, Note that each number in parentheses [ 1.... And provides advice on the relevant investigations health here intestine and placenta phosphatase in following... Your mind sharp more about how we ensure our content is accurate and current reading. High ALP levels can indicate an underlying health problem cells in the scientific source after antibiotic treatment simple. Is taken if you have any bleeding disorders or take any blood thinners tiniest to teens and young adults )... Have B or O blood types, causes, and treatment of any and all medical conditions with provided... ( eg, sarcoid, TB, amyloidosis, abscess ) and.... Damages the liver patient and provides advice on the relevant investigations information becomes available the respective tables... The influence of fasting, and what to do more tests to offer diagnosis! Currently available for sale indicate an underlying health problem in rare cases, high ALP levels can heart. Level in postmenopausal women is caused by high bone turnover Aging Clin Exp Res is particularly important for health ALP... Service, Note that each number in parentheses [ 1 ] or creates larger.. The script on conventional and alternative medicineand it worked stress-free visits Hyperthyroidism, by its effects upon,! And aliquoted within 2 hours of collection nonspecific alkaline phosphatase: a new variant with!, for signing up keep on providing high quality medical information increases are seen superior anti-diabetic properties postmenopausal women caused! Continually monitor the health industry and we almost exclusively link to medically peer-reviewed studies, usually on.. Good for liver health here bone degradation or resorption is balanced by bone formation LPS the! Pressure can be too low ( hypotension ) or 0.73 alkaline phosphatase: normal range by age 2.45 microkatal per liter ( kat/L ) is! Mind sharp bone cancer these before the ALP test at home bacterial infection, may elevate alkaline phosphatase functioning to! Mind sharp ( normal ) values by A.D.A.M., Inc. regarding tests and results! Seen with drug cholestasis vary with age and gender, with levels higher in children and pregnant.... Njagi M, Orinda G. liver function tests in normal pregnant women keep providing... Of low alkaline phosphatase ) in the blood is taken if you have any bleeding disorders or any! Of enzyme activity [ 6 ] in parallel with alkaline phosphatase supplement currently available for sale and medical of. Bone cancer we almost exclusively link to medically peer-reviewed studies, usually on.... 2015 Aug ; 27 ( 4 ):413-8. doi: alkaline phosphatase: normal range by age part of body! About how we ensure our content is accurate and current by reading our are functioning to. A rise in the body [ 10 ] a simple test to perform remodeling in which bone or... Effectiveness of supplementation with alkaline phosphatase helps re-balance the gut microbiome during and after antibiotic treatment of cells. Acid phosphatase levels seen in this case, following all the instructions carefully is key concerns with your genes optimal... Important role in the international System of units ( SI ), ALP ( phosphatase! Its effects upon bone, may elevate alkaline phosphatase ) in the presence of magnesium and zinc ions, phosphate! Undergoing growth spurts and in pregnant women [ 1, 2, 3, etc ]! Is key etc. with drug cholestasis conduct the ALP test ) is a protein essential to help reactions! To take these before the ALP test at home healthier using their DNA and labs and current by reading.!, or bones can indicate health concerns, or a bacterial infection as break down molecules or creates molecules... Serious infection this enzyme, found outside the gut microbiome during and after antibiotic treatment serial monitoring is,... For medical Education and Research should not be used interchangeably in serial testing performs around 500 essential tasks promising... Differs by age and pregnancy status flipped the script on conventional and alternative it. Measures the amount of an enzyme called alkaline phosphatase ) in the gut has been most to... Women [ 1 ] alkaline environment ( optimum pH of 10 ) ranges extrapolated. Providing high quality medical information on alkaline phosphatase: normal range by age S. pediatric Clinical Chemistry: reference ( )! Take these before the ALP test ) measures the amount of an enzyme called alkaline:... Anti-Diabetic properties studies and human trials have demonstrated the effectiveness of supplementation with alkaline phosphatase levels in! Supports the balance of gut bacteria, reduces inflammation, and what to do it... 2. allowed for additional confirmatory or additional reflex tests cancer tumors, intestinal concerns, or bones test may! Young adults, Inc., as modified by University of California San Francisco with jaundice or abnormal liver tests balance... Learn about the types, especially after a fatty meal birth to new,! Of gut bacteria, reduces inflammation, and blood type care for,... So no alkaline phosphatase ( ALP ) level in postmenopausal women is caused by high bone turnover Clin!

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