Clinicians use ALP to look for problems with bile flow in the liver and to evaluate bone disorders. It helps explain symptoms like jaundice, itching, right‑upper belly pain, or bone pain, and it is part of many liver panels. Results can guide next steps, such as GGT, ALP isoenzymes, vitamin D testing, or imaging. You can test this marker with Aniva across Germany and Finland.

Clinicians use ALP to look for problems with bile flow in the liver and to evaluate bone disorders. It helps explain symptoms like jaundice, itching, right‑upper belly pain, or bone pain, and it is part of many liver panels. Results can guide next steps, such as GGT, ALP isoenzymes, vitamin D testing, or imaging. You can test this marker with Aniva across Germany and Finland.

High: Often signals reduced bile flow or bile duct irritation, or increased bone turnover from growth, healing fractures, or conditions like Paget’s. Levels also rise in pregnancy and adolescence, and some medicines can raise ALP.
Low: Uncommon; may be seen with malnutrition, zinc or magnesium deficiency, hypothyroidism, or rare genetic hypophosphatasia. Checking trends and pairing ALP with GGT or 5'-nucleotidase (for liver) or bone markers (for skeletal causes) gives clearer answers.

• GGT
• ALT
• AST
• Bilirubin
• 5'-Nucleotidase
• ALP isoenzymes
• Calcium
• Vitamin D

Common factors that can shift ALP include pregnancy, growth in children and teens, recent fractures, or heavy exercise. A large or very fatty meal may cause a small rise in some people. Alcohol use and certain medicines (such as anticonvulsants, antibiotics, or hormones) can change results. Acute illness or infection can raise it; dehydration may modestly concentrate values.

Special situations (when to confirm or adjust): pregnancy, childhood and adolescence, known bone disease, or unexpected results — consider repeat testing and source-specific follow-up (GGT, 5'-nucleotidase, or ALP isoenzymes).