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Malnutrition is the most common cause of low alkaline phosphatase. In particular, inadequate consumption of vitamin B6, folic acid, vitamin C, zinc, and magnesium are the most common nutritional causes, along with excess consumption of vitamin D.
I sometimes see an elevated phosphatase level when monitoring liver function tests for a statin protocol. What are the reasons for an elevated phosphatase level? When should I stop monitoring a persistently elevated, but stable, alkaline phosphatase?