An Alkaline Phosphatase (ALP) test measures an enzyme found mainly in the liver and bones.
Doctors often use ALP to help understand:
Liver bile flow
Bone growth or turnover
Certain vitamin or hormone effects
ALP is usually interpreted with other liver or bone tests.
This test looks at the level of ALP enzyme in your bloodstream.
ALP can rise when:
Bile flow from the liver is slowed
Bones are growing or remodeling
The body is healing
Because ALP comes from more than one place, context matters.
Normal ALP ranges vary by lab, age, and sex.
Children and teens often have higher ALP due to bone growth.
Your lab report will show:
Your ALP result
The lab’s reference range
Mild elevations are very common.
Higher ALP levels may be caused by:
Bone growth or healing
Liver bile flow issues
Vitamin D deficiency
Pregnancy
Certain medications
A mildly high ALP does not automatically mean liver or bone disease.
Low ALP levels are usually not concerning.
They may be seen with:
Low zinc levels
Malnutrition
Certain genetic conditions (rare)
Low ALP rarely needs follow-up on its own.
ALP levels can change due to:
Normal bone growth
Healing after injury
Pregnancy
Lab variation
Levels often normalize without treatment.
Doctors may repeat this test if:
Levels are elevated
Other liver or bone tests are abnormal
Symptoms are present
Doctors often look at ALP together with ALT, AST, and calcium.
Mild ALP elevations are very common, especially during growth or healing.
Doctors use additional tests to determine whether ALP is coming from the liver or bones.
ALP helps give clues about liver bile flow and bone activity.
Most abnormal results are temporary, explainable, and manageable.
You may want to read:
ALT Blood Test Explained
AST Blood Test Explained
Calcium Blood Test Explained
You can also use the navigation bar above to explore other blood test results.
This information is for educational purposes only and is not medical advice. Always talk with a healthcare professional about your results.