Liver
Alkaline Phosphatase
Alkaline Phosphatase is identified with a liver focus and the unit U/L.
- Short name
- ALP
- Unit
- U/L
- Reference min
- 44
- Reference max
- 147
- Optimal min
- 50
- Optimal max
- 100
- Better when
- in range
- Reference min (male)
- 44
- Reference max (male)
- 147
- Reference min (female)
- 44
- Reference max (female)
- 147
- Sample
- serum
- Fasting required
- false
- Related markers
- Gamma-Glutamyl Transferase, Total Bilirubin
Moved by
Interventions that trials measured against this marker, and which way it moved.No trial has measured Alkaline Phosphatase against an intervention in this library yet.
Full write-up
What is it
Alkaline Phosphatase, commonly abbreviated ALP, is a biomarker with a liver focus. It provides a laboratory measure used to describe liver-related biology, with its result expressed in the unit shown alongside this section.
How to test it
Alkaline Phosphatase is measured from a serum sample. When arranging the test, the collection requirement is therefore a serum blood sample rather than another specimen type. Fasting is not required, so the test can be arranged without fasting preparation.
The result is reported in U/L and is interpreted against the laboratory’s reference and optimal ranges shown alongside the result. Those ranges provide context for understanding whether the value falls within the expected or preferred interval; they are not a diagnosis on their own.
For a fuller clinical picture, a clinician may review Alkaline Phosphatase together with related markers such as Ggt and Bilirubin Total. This can help place the result in context rather than relying on the Alkaline Phosphatase value alone. If the test is being arranged because of a medical concern or as part of monitoring, interpretation should be discussed with a qualified clinician.
Reading your result
Interpret an alkaline phosphatase result against the reference range printed on the laboratory report. A value inside the reference range is within the broader interval used for comparison, while the optimal range is narrower and represents a tighter target within that interval. Being outside the optimal range does not by itself mean that anything is wrong.
Laboratories may use different reference ranges and units, so a number is meaningful only alongside the range shown on that specific report. A single alkaline phosphatase value is not a diagnosis and should be considered in its clinical context. Results outside the reference range should be discussed with a clinician, particularly when evaluating a medical condition.
What moves it
Several interventions were tested by measuring Alkaline Phosphatase directly. The studies reported decreases with Milk Thistle (Silymarin), Horny Goat Weed (Epimedium), Quercetin, Reishi, and Black Seed Oil. These findings indicate movement toward lower values, although the size and consistency of the change differed between interventions and studies.
Calcium was associated with an increase in Alkaline Phosphatase in the directly measured evidence. Resveratrol, Chlorella, Coenzyme Q10, Alpha-Lipoic Acid (ALA), Cranberry Extract, Green Tea Extract (EGCG), Saffron Extract, Panax Ginseng, and Spirulina were reported as unchanged overall. For Green Tea Extract (EGCG), Alkaline Phosphatase decreased in both groups, but no between-group effect was reported, so the intervention was not considered to have changed the marker. The same overall interpretation applies when study results did not show a statistically significant difference.
Where a retest interval was reported, reassessment generally occurred between 6.5 and 48.0 weeks, reflecting the varied durations used across studies. Changes in this marker can depend on the intervention, comparison group, and study context, so a movement in one trial does not establish a general effect across all settings. Interpretation is best considered alongside the reason the marker was measured and other clinical findings.