high ALK PHOS TOTAL on metabolic lab test
 

I have an elevated ALK PHOS TOTAL level of 237 on my latest metabolic panel. All other results are normal. Has anyone else had this experience? I take omeprazole daily and tylenol occasionally. I really do not have any symptoms of liver or gallbladder problems.

Re: high ALK PHOS TOTAL on metabolic lab test
 

I am on Kadcyla and my Alk Phos is elevated, but I only just started so it is slightly above normal. It is a sign that the liver is having to deal with all the drugs we are taking. I do not take any pain meds. I am looking for a way to reduce my levels. My ALT and AST are still normal, but I am taking Milk Thistle, which I am pretty sure helps.

Re: high ALK PHOS TOTAL on metabolic lab test
 

Saw my oncologist today. Scheduled for a bone scan next week. I will look into milk thistle thanks waterdreamer ��

Re: high ALK PHOS TOTAL on metabolic lab test
 

My ALK level has remained in range since I was first dx in 2013 but my ALT and AST have gone high a few times. Being a stage IV HER2 patient I still receive vitamin H & P every 21 days. I have a liver specialist whom I have consulted with and she feels these levels are not alarming. I would consider consulting a liver specialist. If you do, bring all of your labs (metabolic panel results) so he/she can see where you began and where you are.

Re: high ALK PHOS TOTAL on metabolic lab test
 

Here is an update on my elevated Alk Phos blood level. I had a couple of spots on my ribs right under my breast implant that lit up on my bone scan. My oncologist ordered a bone biopsy. When I went in for the biopsy the radiologist decided to do a CT scan first to determine if he would be able reach the biopsy spot under the implant. The CT scan showed 2 rib fractures under my implant. I'm not totally sure how I fractured my ribs but I did have a terrible cough and cold that lasted a couple of months. I got a second opinion on the rib fracture diagnosis just to be safe.