Hi @myrnoll and @marianne1358 I have been on forteo, an anabolic for more than a year. It was clear that my serum Alkaline phosphatase (ALP) was increased to 130-150, from a baseline of 75-90 right after the start of forteo. My endo said its normal. I read that an increased level of ALP usually is due to some problems of liver or bone. Since bone specific ALP increases with the use of an anabolic, we would expect total serum ALP to increase also?

@myrnoll, did your doctor think it's a good idea to stop evenity because of the increased level of serum total ALP?