It seems that since starting anastrozole in May 2018 my bloodwork has indicated the alkaline phosphate ALP and calcium readings are higher than normal. I checked the information for anastrozole and found that this is one of the things that can happen while taking this drug. I understand that anything that goes through the liver can affect the liver enzymes. In addition, while checking this out, I found that anastrozole draws calcium from the bones and that could cause the elevated calcium reading. Neither the GP or oncologist seem to be concerned with this. Do others check your blood test reports and have you found elevations in the ALP and calcium levels…or increases in what is normal for you?