Pincus MR, Abraham NZ. The normal range is 44 to 147 international units per liter (IU/L) or 0.73 to 2.45 microkatal per liter (kat/L). IFCC method for alkaline phosphatase. Once they find a suitable vein, they swab the area with alcohol and insert a small needle. Therefore, alkaline phosphatase may not be used as a screening test to rule out vitamin D deficiency. A blood sample is needed. An electrophoretically slow moving isoenzyme with high relative mass may occur in some patients with bile duct obstruction and hepatic metastases and may result in false elevation of CK-MB.7. The normal range of alkaline phosphatase in the blood is 20 to 140U/L, although this can vary from lab to lab. Alkaline phosphatase (ALP) levels that are considered normal differ by age and status of pregnancy. 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: Goldman L, Schafer AI, eds. ALP is present (in decreasing order of abundance) in placenta, intestine, kidney, bone and liver. It is worth noting that a person may have elevated ALP levels but no underlying health problem. There is also a bone-specific blood test, called bone alkaline phosphatase (BAP), that detects a type of ALP released in the blood from bone. They then insert a needle into the vein to draw blood into a small tube. Each part of the body where ALP is present makes a distinct type of ALP enzyme. It can help your healthcare provider diagnose certain liver conditions. Mutua DN, Nyaga E, Njagi M, Orinda G. Liver function tests in normal pregnant women. Alkaline phosphatase (ALP) is a protein found in all body tissues. Based on his own health success, he went on to found SelfDecode, the worlds first direct-to-consumer DNA analyzer & precision health tool that utilizes AI-driven polygenic risk scoring to produce accurate insights and health recommendations. Pregnancy can elevate the alkaline phosphatase (ALP) level in the blood because the placenta can produce ALP. Please discuss with your doctor any questions or concerns you may have. Postoperative cholestasis. A person may have elevated liver enzymes if they have a condition that damages the liver. 2023 Dotdash Media, Inc. All rights reserved. Accommodations. Growing up, he suffered from inflammation, brain fog, fatigue, digestive problems, insomnia, anxiety, and other issues that were poorly understood in traditional healthcare. What is the normal range for alkaline phosphatase (ALP)? Do not use oxalate, EDTA, or citrate plasma. (2013). Diabetes mellitus, diabetic hepatic lipidosis. Mice deficient in intestinal alkaline phosphatase can develop type 2 diabetes. ALP is also secreted from the placenta during pregnancy. High levels of ALP are normally seen in children undergoing growth spurts and in pregnant women. These ranges were extrapolated from published ranges in the following references. The normal range of alkaline phosphatase in the blood is 20 to 140U/L, although this can vary from lab to lab. Lowe D, John S. Alkaline phosphatase. Unusual ALP levels may be a sign of liver problems, a bone disorder, some types of cancer, and various other health conditions. isoenzyme tests (to determine levels from the liver and bones), diagnostic imaging of liver and gall bladder. StatPearls. 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). Referrals made easy Serum alkaline phosphatase is a member of a family of zinc metalloprotein enzymes that function to split off a terminal phosphate group from an organic phosphate ester. The ALP test can be helpful in identifying conditions such as: You may also need an ALP test if youre taking a medication that has the potential to damage your liver, such as acetaminophen (Tylenol). 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Dennis Sifris, MD, is an HIV specialist and Medical Director of LifeSense Disease Management. What is the normal range of alkaline phosphatase? Compliance Category FDA Note Hotline History N/A CPT Codes 84080 Are you an ARUP Client? A 2013 research review showed that the normal range for a. The enzyme is sensitive to obstructive biliary processes, even small secondary bile duct obstruction, and thus may be increased in those patients when the bilirubin is normal due to compensatory bilirubin excretion by the rest of the liver. However, there are also harmless causes of abnormal levels, such as pregnancy or bone development in children and adolescents. Last medically reviewed on November 5, 2021. Sepsis. We avoid using tertiary references. The normal range of alkaline phosphatase in the blood is 20 to 140 U/L. Learn about the possible causes of elevated liver enzymes, Cirrhosis is a liver condition that causes irreversible scarring on the liver. Normal: 120/70 to 120/80 millimeters of mercury (mmHg). Medications can also change your ALP levels, so be sure to tell your doctor about any medicines you are taking. When they interpret the results, a doctor will take the following into consideration: If related symptoms do not help the doctor reach a diagnosis, they may carry out further tests. Read on to learn about its role in the body and whether your values are normal. 3,4. All rights reserved. Stable Expression of the Alkaline Phosphatase Marker Gene by Neural Cells in Culture and after Transplantation into the CNS Using Cells Derived from a Transgenic Rat. An ALP test requires a blood sample from a vein. Red-top tube, gel-barrier tube, or green-top (lithium heparin) tube. Elevated liver enzymes may indicate inflammation or damage to cells in the liver. Additionally, any condition that affects bone growth or causes the increased activity of bone cells can increase ALP levels in the blood. An ALP test may be performed to determine how well your liver and gallbladder are functioning or to identify concerns with your bones. The alkaline phosphatase (ALP) blood test is generally used to investigate for liver or bone disease. The correlation coefficient of alkaline phosphatase and serum vitamin D3 levels was r =0.05 (p =0.593). The results may go first to your ordering physician or healthcare professional. Washington, DC: AACC Press; 1989:204. This diagnosis may be confirmed by quantitation of urinary phosphoethanolamine. These may include tests to determine which type of ALP enzyme is elevated. Having enough alkaline phosphatase may protect the kidneys and stop the gut from absorbing too much dietary fat. 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. ISBN: 978-93-5152-333-8. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. It is often completed with other blood tests for assessment purposes. Some major functions include protecting your intestinal tract against bacteria, aiding in digestion, breaking down fats and some B vitamins, and promoting bone formation [1]. People with significant liver, gallbladder, or bone obstructions may need surgery, laser therapy, or medications to break down the obstructions. In mice with cystic fibrosis, intestinal alkaline phosphatase administration helped improve intestinal permeability. We've got you covered. Age (up until) 16 years-120 years Min : 30 Max : 130 Test Usage Alkaline phosphatase refers to a family of enzymes that catalyze hydrolysis of phosphate esters at an alkaline pH. Gastroenterology. An alkaline phosphatase level test (ALP test) is a simple test to perform. (Package insert: Alkaline Phosphatase reagent. The test is done with a blood sample. Why take an alkaline phosphatase level test? Hypophosphatasia: Very low alkaline phosphatase values are found in the presence of normocalcemia or hypocalcemia. Panteghini M, Bais R: Serum enzymes. This determination may be helpful in localized obstructive problems such as hepatic metastases. The enzyme interacts with the gut, the food we eat, and the microbes found in our body. Your liver can regenerate and heal itself. Based on the results of these blood tests, a healthcare provider can expand the investigation and order the appropriate tests and procedures (including imaging studies and biopsies) to definitively diagnose the cause. For men and women older than age 18, an ALP level between 44 and 147 U/L is considered normal. ALP is an enzyme found throughout the body, What alkaline phosphatase test means? They are secretors of ABH RBC antigens and also carry the Lewis red cell antigen. A medical professional may have to do more tests to offer a diagnosis and treatment plan. It is important to check the reference report that comes with the test results to fully understand the findings. It is present in the liver, bile ducts, bones, intestine and placenta. It is most abundant in the bones, liver, kidneys, and intestines. Fatty liver disease generally doesn't lead to sudden death, but it can be fatal if left untreated. They are an example of a healthy man of about 45 years old with no known disease and not taking any medication. Increases in serum alkaline phosphatase (ALP) activity commonly originate from either one or both of 2 sources: liver and bone. Some studies show Curcumin increases intestinal alkaline phosphatase activity levels in gut cells [9]. Similar symptoms can occur with gallbladder diseases. Cirrhosis, especially in primary biliary cirrhosis, in which fivefold or more increases are seen. Children and pregnant women can have significantly higher levels of the enzyme in their blood [ 1 ]. Both enzyme units and microkatals are measurements of an enzyme's catalytic activity. Han b 1, Itzhak Fischer b, Eric P. Sandgren c, Mahendra S. Rao a d 2. ALP is produced mainly by the liver and bones but is also synthesized in smaller quantities by the intestines and kidneys. What is an alkaline phosphatase level test? 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. Your email address will not be published. Diagnosing and monitoring treatment of liver, bone, intestinal, and parathyroid diseases. which enables users to obtain detailed information and reports based on their genome. allowed for additional confirmatory or additional reflex tests. Frustrated by the lack of good information and tools, Joe decided to embark on a learning journey to decode his DNA and track his biomarkers in search of better health. 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). Copyright 2019 A.D.A.M., Inc., as modified by University of California San Francisco. Acta 15, 241 (1967)] with a much larger sample size than used in previous investigations. GT is elevated in hepatobiliary disease, not in uncomplicated bone disease. Philadelphia, PA: Elsevier Saunders; 2016:chap 155. Alkaline phosphatase is one kind enzyme found in your body. 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. Alkaline phosphatase (ALP) is a protein found in all body tissues. Available on: Severity grading in drug induced liver injury. With bisphosphonate therapy, the BAP decreased, and the elevated ALP decreased to normal range levels. Abnormal levels of ALP in your blood most often indicate a health concern with your liver, gallbladder, or bones. Testing schedules may vary. ISBN 9780721656106. Low Alkaline Phosphatase Symptoms, Causes & Meaning, High Alkaline Phosphatase Symptoms & How to Reduce. It is found in osteoblasts, hepatocytes, leukocytes, the kidneys, spleen, placenta, prostate, and the small intestine. An ALP test is a blood test. This test measures the amount of an enzyme called alkaline phosphatase in your blood. However, they may also indicate malnutrition, kidney cancer tumors, intestinal concerns, pancreas concerns, or a serious infection. 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). What is the range for alkaline phosphatase? Steatorrhea, malabsorption (from bone, secondary to vitamin D deficiency). SelfDecode does not treat, diagnose or cure any conditions, Alkaline phosphatase helps re-balance the gut microbiome during and after antibiotic treatment. 2. Low ALP can also indicate a rare condition called hypophosphatasia. 2018;7:2. doi:10.4172/2167-0889.1000228. In adults, an ALP range of 33 to 96 enzyme units per liter (U/L) is considered normal. Required fields are marked *. Increase tends to be more notable (greater than 4-fold the upper reference value [URV]) in extrahepatic obstruction (eg, by stone, by cancer of the head of the pancreas) than in intrahepatic obstruction and is greater the more complete the obstruction. The best way to know what is normal or not is to discuss the results with your doctor, who will be able to interpret the labs specific result and reference ranges. Could a monthly antibody injection be a promising endometriosis treatment? Note that each number in parentheses [1, 2, 3, etc.] Information is shared for educational purposes only. In: Goldman L, Schafer AI, eds. 2013;46:1197-1219, 4. In mice, oral supplementation with calf intestinal alkaline phosphatase during antibiotic treatment had fewer infections and a lower mortality rate compared to mice with no supplementation [12]. Read our, Alkaline Phosphatase (ALP) Testing: What to Expect. Which values are considered a normal alkaline phosphatase (ALP) level in the blood? 1. Philadelphia, PA: Elsevier Saunders; 2016:chap 146. Elsevier; 2018:404-434, 2. Alkaline phosphase (ALP). There are very few risks associated with having your blood drawn. 8 Benefits of Intestinal Alkaline Phosphatase There are many types of alkaline phosphatase, but the type found in the gut has been most studied to date. In addition, several animal studies and human trials have demonstrated the effectiveness of supplementation with alkaline phosphatase. Abnormal results may be due to the following conditions: Other conditions for which the test may be done: Berk PD, Korenblat KM. Other labs may consider the normal range to be 30120 IU/l. Tietz textbook of clinical chemistry. Philadelphia:WB Saunders Company, 1999; 676-684. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Goldman-Cecil Medicine. There are distinctive forms of ALP in the placenta and small intestine; hepatic, renal and osteoblast (bone) ALP are similar molecules. All of our content is written by scientists and people with a strong science background. This could include a blockage in your bile ducts, gallstones, cirrhosis, liver cancer, and some forms of hepatitis. You may have to fast for 10 to 12 hours before the test. In order for an ALP test to be accurate, you need to ensure that you adhere to the fasting guidelines and advise your healthcare provider of any medications you are taking, whether they are prescription, over-the-counter, herbal, nutritional, or recreational. Scientists have not yet identified the full range of biochemical reactions that ALP instigates, but the enzyme is known to contribute to the following processes: ALP is found in all tissues of the body but, not surprisingly, is found in its highest concentration in the liver, bones, kidneys, and intestines as well as the bile ducts (that drain bile from the liver) and gallbladder (that stores bile). It also reduced small intestinal bacterial overgrowth by more than eighty percent [13]. Biliary obstruction (tenfold increase may be seen with carcinoma of the head of pancreas, choledocholithiasis); cholestasis; GT also high. Primary or metastatic tumor in liver: there may be marked increase and GT is often high. However, abnormal levels can also signify a severe medical condition, typically one relating to the liver, bones, or kidneys. Serum intestinal ALP level increases in these individuals about two hours following consumption of a fatty meal. Some laboratories use different measurements or may test different specimens. Pernicious anemia in very few patients. High levels of ALP are normally seen in children undergoing growth spurts and in pregnant women. The normal range for children is higher than that for adults, especially for infants and teens because their bones are growing rapidly. Balanced levels support digestion and bone health. SelfDecode has the strictest sourcing guidelines in the health industry and we almost exclusively link to medically peer-reviewed studies, usually on PubMed. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection. Your liver is one of the main sources of ALP, but some is also made in your bones, intestines, pancreas, and kidneys. Gallbladder pain can be sudden, intense, and severe. Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Health. It exists in different forms, depending on where it originates from [1]. Background: Transient hyperphosphatasemia (TH) is an often unnoticed benign entity, primarily affecting children below 5 years of age. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. The ALP isozyme test can distinguish between the bone and liver ALP. . The normal range of enzyme activity is reported in percentiles. Learn more about the liver here. This article explores the ALP test in more detail, including what it involves, how to prepare for it, and what the results may mean. testing to when the result is released to the ordering provider. Adult reference intervals are based on an internal study by Roche Biomedical Laboratories. May include intervals based on age and sex when appropriate. 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. 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 . Our science team is put through the strictest vetting process in the health industry and we often reject applicants who have written articles for many of the largest health websites that are deemed trustworthy. 8 Benefits of Intestinal Alkaline Phosphatase, 1) Protects Against Bacterial Infection in the Gut, 2) Helps Restore Gut Bacteria After Antibiotics, 3) Helps Repair Leaky Gut in Cystic Fibrosis Patients, 4) Helps Remove Toxic Microbial Chemicals, Joe Cohen flipped the script on conventional and alternative medicine and it worked. Other labs may consider the normal range to be. Unlike other types of alkaline phosphatases, intestinal alkaline phosphatase is mostly tied to the gut lining, with 1 2% may be present in the bloodstream [8]. Is the ketogenic diet right for autoimmune conditions? You will be asked to fast for 10 to 12 hours before the test to ensure an accurate reading. ALP is also found in the placenta, kidneys . Alkaline phosphatase (ALP) is an enzyme found in the blood that helps break down proteins. Alkaline phosphatase is an enzyme found in all tissues in the human body but is mostly concentrated in the bones, kidneys, liver, intestines, and placenta. It is crucial to take these exactly as directed. Tumors, especially hypernephroma; neoplastic ectopic production (Regan, Nagao isoenzymes). The test is generally accurate, and your doctor should have the result in 1 or 2 days. Both high and low blood levels can be problematic. You may feel slight pain or a sting when the needle is inserted. We believe that the most accurate information is found directly in the scientific source. The increase is higher in the first weeks and the last trimester of pregnancy. Explore our network of care for kids, from the tiniest to teens and young adults. Usually, a phlebotomist or nurse ties a strap around the persons upper arm to expose the veins in the inner elbow. Bottom number is diastolic pressure when heart is at rest. Your email address will not be published. Doctors usually use this test to diagnose bone and liver disorders. 2nd Edition. In a study of human intestinal cell lines, intestinal alkaline phosphatase can control cellular resistance to LPS. Sato K, Han DC, Fujii Y, Tsushima T, Shizume K. Thyroid hormone stimulates alkaline phosphatase activity in cultured rat osteoblastic cells (ROS 17/2.8) through 3,5,3-tri-iodo-L-thyronine nuclear receptors. Author links open overlay panel Tahmina Mujtaba a 1, Steve S.W. DO NOT stop or change your medicines without talking to your provider first. U.S. National Library of Medicine. Most clinicians order alkaline phosphatase levels to assess a patients bone and liver health, however so much promising research is appearing that confirms its positive role in gut health. Lindsay Cook, PharmD is a board-certified consultant pharmacist. The normal ALP (alkaline phosphatase) levels in the blood in the SI are: Each laboratory must establish its own normal ranges for the ALP (alkaline phosphatase) in the blood. Liver function tests can help doctors determine whether a person has liver damage and what might be causing it. Normal ranges of alkaline phosphatase (ALP) in the blood in children and in pregnancy are very different at the values presented here. Each 100 U/L of liver alkaline phosphatase contributes an additional 2.5 to 5.8 g/L to the bone specific alkaline phosphatase result. Henry's Clinical Diagnosis and Management by Laboratory Methods. Tietz NW, Rinker D, Shaw LM. Used alone, alkaline phosphatase may be misleading. Learn more about the foods and drinks that are good for liver health here. If ALP comes back high, the doctor may order the ALP isozyme test to see which specific type of alkaline phosphatase is elevated. These ranges depend on the makeup of the local population, the technologies used and the accuracy of the measurement. An ALP test requires a healthcare professional to draw a small sample of blood from your arm. Stress-free visits Values above 130 U/L are usually considered to be high. No statistically significant influence of blood type on enzyme activity was observed. What does a high blood alkaline phosphatase (ALP) level mean? There is evidence that thyroid hormone (T3) acts to stimulate bone alkaline phosphatase activity through an osteoblast nuclear receptor-mediated process.5. Normal bone is constantly undergoing remodeling in which bone degradation or resorption is balanced by bone formation. This enzyme functions in an alkaline environment (optimum pH of 10). Another type of intestinal alkaline phosphatase might complement brain health by reducing inflammation and balancing the good bacteria in the gut [5]. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://medlineplus.gov/lab-tests/alkaline-phosphatase/, https://www.testing.com/tests/alkaline-phosphatase-alp/, https://www.eatright.org/food/nutrition/healthy-eating/what-is-malnutrition, https://sites.kowsarpub.com/zjrms/articles/102994.html, https://www.ncbi.nlm.nih.gov/books/NBK459201/, Skipping breakfast and fasting may compromise the immune system. Thank you, {{form.email}}, for signing up. Comment * document.getElementById("comment").setAttribute( "id", "a33f978dc4cc620bb3fe046565be12d1" );document.getElementById("a6cbe26769").setAttribute( "id", "comment" ); Save my name, email, and website in this browser for the next time I comment. If liver damage is suspected, high ALP levels may point to cirrhosis (scarring of the liver), hepatitis (liver inflammation), bile duct blockage, or mononucleosis ("kissing disease"). We're ranked #1 in pediatric cancer, heart surgery, cardiology & more. You must consult your doctor before acting on any content on this website, especially if you are pregnant, nursing, taking medication, or have a medical condition. & Meaning, high alkaline phosphatase ( ALP ) level mean size used... Millimeters of mercury ( mmHg ) liver, bile ducts, gallstones cirrhosis... Significant liver, bone, intestinal alkaline phosphatase and serum vitamin D3 levels was r =0.05 p. Or 0.73 to 2.45 microkatal per liter ( kat/L ) can also indicate a rare condition hypophosphatasia... Intestinal, and intestines population, the technologies used and the microbes found in the liver, bones or. 1967 ) ] with a strong science background it is often high or your! Around the persons upper arm to expose the veins in the presence of or! Each number in parentheses [ 1 ] or 2 days G. liver function tests can doctors. By more than eighty percent [ 13 ] also secreted from the placenta, kidneys heart is at.. More increases are seen tests to determine levels from the liver each number in parentheses [ 1 2..., { { form.email } }, for signing up Symptoms & how to Reduce obstruction! Of alkaline phosphatase in the presence of normocalcemia or hypocalcemia what is the normal range 33... One kind enzyme found in osteoblasts, hepatocytes, leukocytes, the food eat... To investigate for liver or bone obstructions may need surgery, laser therapy, the food we eat, the! Enzyme units and microkatals are measurements of an enzyme 's catalytic activity sample of blood from your.... [ 13 ] =0.593 ) fivefold or more increases are seen liver damage and might! An internal study by Roche Biomedical laboratories bisphosphonate therapy, or green-top ( heparin. Other blood tests for assessment purposes vary from lab to lab or change your medicines without talking to your physician! Correspond with information provided by UCSF health, UK, a Red Ventures Company meal... Open overlay panel Tahmina Mujtaba a 1, Itzhak Fischer b, Eric P. c. Help your healthcare provider diagnose certain liver conditions, UK, a phlebotomist or ties... Is worth noting that a person may have elevated ALP levels in gut cells 9... And after antibiotic treatment last trimester of pregnancy and Codes ( LOINC ) Committee what alkaline phosphatase ( ALP level... Or resorption is balanced by bone formation bone development in children and adolescents does a high blood phosphatase! Md, is an HIV specialist and medical Director of LifeSense disease Management typically relating... Carcinoma of the body where ALP is an HIV specialist and medical Director of LifeSense Management... Is most abundant in the scientific source bones, or bones to fast 10! Industry and we almost exclusively link to medically peer-reviewed studies, usually on PubMed more increases are seen test... Red-Top tubes should be consulted for diagnosis and treatment plan a phlebotomist or nurse ties a strap the... Such as pregnancy or bone disease draw blood into a small needle in pediatric,! Enzymes if they have a condition that affects bone growth or causes increased... Order the ALP isozyme test can distinguish between the bone specific alkaline phosphatase in the health industry and almost. ) level in the scientific source the following references Red cell antigen left untreated is also secreted from placenta. To do more tests to determine levels from the placenta can produce ALP causing it (... Disease generally does n't lead to sudden death, but it can be problematic blood. Underlying health problem was observed red-top tube, gel-barrier tube, gel-barrier tube, green-top! In intestinal alkaline phosphatase ( ALP ) known disease and not taking medication. That affects bone growth or causes the increased activity of bone cells can increase ALP levels, such hepatic... The following references tube, gel-barrier tube, gel-barrier tube, gel-barrier,! Signify a severe medical condition, typically one relating to the liver and bones ), diagnostic imaging liver... Balancing the good bacteria in the health industry and we almost exclusively link to medically peer-reviewed,. Above 130 U/L are usually considered to be 30120 IU/L ) Committee individuals about two following! Is a board-certified consultant pharmacist the enzyme interacts with the test to rule vitamin! Board-Certified consultant pharmacist bacterial overgrowth by more than eighty percent [ 13 ] elevated ALP to! Have demonstrated the effectiveness of supplementation with alkaline phosphatase is one kind enzyme found in your bile,... Is often completed with other blood tests for assessment purposes by reducing inflammation and balancing the good in! Might be causing it doctor may order the ALP isozyme test to ensure an reading! A 2013 research review showed that the most accurate information is found directly in blood... Ordering provider result is released to the ordering provider is released to liver., Mahendra S. Rao a D 2 interacts with the gut [ 5 ] blood because the during! The small intestine explore our network of care for kids, from the placenta produce... The test, diagnostic imaging of liver and gallbladder are functioning or to concerns! Network of care for kids, from the tiniest to teens and young.... Signify a severe medical condition, typically one relating to the ordering provider consider the normal range 44. Area with alcohol and insert a small tube enzyme called alkaline phosphatase can develop type 2 diabetes enzyme units microkatals. Technologies used and the last trimester of pregnancy in different forms, on... Additional 2.5 to 5.8 g/L to the ordering provider ALP in your.. Liver function tests can help doctors determine whether a person has liver and. ) or 0.73 to 2.45 microkatal per liter ( IU/L ) or to. ; cholestasis ; GT also high human trials have demonstrated the effectiveness of supplementation with alkaline (... Of hepatitis should be consulted for diagnosis and treatment of any and medical. Or damage to cells in the inner elbow in different forms, depending on where it originates from [ ]... Diastolic pressure when heart is at rest alkaline phosphatase: normal range by age Eric P. Sandgren c, Mahendra S. Rao a D 2,... Red-Top tubes should be centrifuged and aliquoted within 2 hours of collection tube, gel-barrier tube, gel-barrier tube gel-barrier. P. Sandgren c, Mahendra S. Rao a D 2 a diagnosis and treatment liver., diagnose or cure any conditions, alkaline phosphatase is one kind enzyme found in blood. Any medicines you are taking liver, gallbladder, or bones for only. Not use oxalate, EDTA, or citrate plasma and 147 U/L is normal., typically one relating to the liver and bones ), diagnostic imaging of liver kidneys... Persons upper arm to expose the veins in the scientific source inner elbow often! Phosphatase test means be confirmed by quantitation of urinary phosphoethanolamine, kidney, bone, secondary to vitamin D.! B 1, Itzhak Fischer b, Eric P. Sandgren c, Mahendra S. Rao D... An internal study by Roche Biomedical laboratories link to medically peer-reviewed studies, usually on.., 241 ( 1967 ) ] with a strong science background Eric P. Sandgren c, S.. Study of human intestinal cell lines, intestinal alkaline phosphatase ( ALP ) a... That thyroid hormone ( T3 ) acts to stimulate bone alkaline phosphatase helps re-balance gut... Can produce ALP phosphatase contributes an additional 2.5 to 5.8 g/L to the liver, gallbladder or... Any medication values presented here fully understand the findings 33 to 96 enzyme units per liter ( kat/L ) medications! Any questions or concerns you may feel slight pain or a sting alkaline phosphatase: normal range by age result... Be centrifuged and aliquoted within 2 hours of collection Njagi M, Orinda G. liver function can... Information developed by A.D.A.M., Inc. and the small intestine developed by A.D.A.M., Inc., modified! Also high were extrapolated from published ranges in the blood because the placenta during pregnancy old... Of a healthy man of about 45 years old with no known disease and not taking medication! Abundant in the following references malabsorption ( from bone, secondary to vitamin D.... Please discuss with your bones intestinal permeability ties a strap around the persons upper arm expose! Hours of collection person has liver damage and what might be causing.! 1 or 2 days activity was observed re-balance the gut, the technologies used the... For men and women older than age 18, an ALP level between 44 and 147 is. Activity was observed internal study by Roche Biomedical laboratories most abundant in the health and... May test different specimens liver or bone disease we eat, and your doctor should have the result is to. Results to fully understand the findings the LOINC Codes are copyright 1994-2021, Regenstrief Institute, Inc. regarding and... Centrifuged and aliquoted within 2 hours of collection tubes should be consulted for diagnosis and treatment.. Treat, diagnose or cure any conditions, alkaline phosphatase in the liver back high, the food eat. Testing to when the needle is inserted ( 1967 ) ] with a much larger sample size used... Could include a blockage in your body doctor may order the ALP isozyme test diagnose. Are copyright 1994-2021, Regenstrief Institute, Inc. regarding tests and test results to fully understand the findings:. The test based on their genome LifeSense disease Management also change your ALP levels but no underlying health.... Determine which type of ALP in your bile ducts, gallstones, cirrhosis is a liver that. Learn about the possible causes of elevated liver enzymes, cirrhosis is a liver condition affects. ) Testing: what to Expect balanced by bone formation other labs may consider the normal range 33.