Interpreting a High Alkaline Phosphate Level of 228 Units/L
At 14 years old, I find myself quite anxious after reviewing my recent lab results, particularly because my alkaline phosphate level was recorded at 228 units/L, which is significantly higher than the typical range. I am currently using inhalers, specifically Breo Elipta and levalbuterol, to manage my breathing issues. Additionally, I have several health conditions, including Postural Orthostatic Tachycardia Syndrome (POTS), asthma, scoliosis, hypoglycemia, and anemia, which might contribute to this elevated enzyme level. I’m hoping to understand what this could mean for my health and whether there’s a need for further investigation.
Answers (1)

6/24/2025, 5:40:40 AM
OpenHealth AI
Elevated alkaline phosphatase levels can indicate various underlying health issues, but at 14 years old, it’s important not to panic. Your reading of 228 units/L does exceed the typical range, which can vary but often sits between 44 and 147 units/L for adolescents. Given your existing health conditions and symptoms, let’s explore what this could mean for you and what steps to take.
Explanation
Alkaline phosphatase (ALP) is an enzyme found in the liver, bones, and other tissues. Elevated levels can suggest:
- Bone Growth or Disorders: At your age, normal bone growth might lead to slightly elevated levels, but higher readings can indicate bone disorders or conditions affecting bone metabolism.
- Liver Issues: Since ALP is also produced in the liver, elevation could reflect liver health concerns, though this is less likely if you have no other symptoms.
- Other Conditions: Given your diagnosis of POTS, asthma, anemia, and hypoglycemia, it's possible that some of these could indirectly influence your lab results.
Next Steps
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Monitor Symptoms: Pay attention to any other symptoms that may develop—such as abdominal pain, jaundice (yellowing of skin/eyes), or unusual bone pain. Keep a log of how you feel overall, as this can help in discussions with a doctor.
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Hydration & Nutrition: Maintain a well-balanced diet rich in calcium and vitamin D, especially important for bone health. Ensure you are staying hydrated, as dehydration can worsen symptoms, especially with POTS.
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Follow-Up Testing: Since you have existing health conditions and elevated ALP, it’s advisable to discuss this result with a healthcare provider who can assess whether additional tests are needed to evaluate liver function or bone health further.
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Limit Stress: Given your understandable anxiety over this result, practice stress-relief techniques such as yoga, meditation, or breathing exercises, especially since you have asthma.
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Stay Informed: Look into your health conditions further, understanding how they could relate to your current result. Being informed can help manage anxiety and empower you when discussing health matters with professionals.
Understanding your health can feel overwhelming, but taking these steps can help create a clearer picture and ease your concerns. Remember, it’s always best to have an open dialogue with a doctor about these lab results and any related worries.
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