Lab results = HIgh ALK PHOS

HI,

I just got a portion of my Blood labs back from my Annual with my PCP.  He wanted a draw for his records which he then would forward to my Surgeon.  Most of the results looked good except for the ALK PHOS which came back high and they had me come back for a re-draw today.  I'm wonder if anyone can tell me anything about this Liver Enzyme test.  I've all so included my results with ranges incase for any feed back.  There are two low test but I have no idea what those pertain to.

  Again this is an incomplete list as the rest of the test were "sent out".

CBC                    Result                     normal range
WBC                        8.9/mm3            4-11
LY#                           2.4/mm3            1.3-4.5
MID                          0.4/mm3             0-1.8
GRA                        6.11%                 1.4-6.0       HIGH     (was being treated for UTI at time)
LY%                        26.7%                  12-48
MID%                      4.8%                    7--22          LOW
GRA%                     68.5%                  41-77
RBC                       4.47/mm6             3.2-5.5
HGB                        11.9G/DL             9-18
HCT                        39.3%                    35-48
MCV                       87.9fL                     85-100
MCH                      26.6pg                   26.32
MCHC                   30.3g/dl                 31-37          LOW
RDW                     13.5%                      11-14
MPV                        11.1fL                    9-13

CHEM4
ALBUMIN                4.3G/DL                  3.5-5.0
ALT                          27u/L                       2-60
AST                         39U/L                       2-50
Glucose                  97mg/DL                70-120
Creatine                 0.7mg/DL                0.5-1.7
Cholesterol            137mg/DL              100-200
Direct HDL               42mg/DL                35-77
LDL                           63mg/DL                 60-100
Triglycerides           161md/DL              30-200
Total BIlirubin          0.6mg/DL               0.2-1.4
Direct Bilrubin         0.1mg/DL               0-0.5
Total Protein           6.3G/DL                  6.0-8.5
ALK PHOS               135 u/L                   34-114      HIGH  (opps orginally posted wrong # range)

ELEC3
Ferr                           204.2ng/ml             10-300
Free T3                   2.4pg/ml                   2.3-4.2
TSH                          2.6uIU/mIL               0.3-5.5

Indivdial Test
FOL 3                       14.7ng/ml                  3.4-20.0
B12                            1052pg/ml             200-1000
Calcium                     9.3MG/DL               8.5-10.5 

Thanks for any help in advance.
C-

 Those enzymes are supposed to remain in your liver where they are happy, but when they pass into your blood stream it can indicate muscle damage or liver damage.  Your number is still within the "normal range" that they post so I wouldn't worry too much about it until they re-test.  (Here's my disclaimer, lol, I am not a doctor, but studied this somewhat in school)

Darn.  I totally should have 2x checked my trascription, espeically for that line.  The HIgh part of the range was actually 114 so I'm about 20u/L higher than I should be.

I wonder then if there was actual damage why the ALT and AST aren't higher.  I was diagnosed with Fatty liver over a decade ago and I've also had my Gallbladder out around the same time. 

Suppose it's a waiting game till the next batch of results comes back.

Thanks

An elevated alk phos is more indicative of pancreatitis rather than a problem with the liver. If the Alk Phos was redrawn, the amylase should also be checked.