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Alkaline Phosphatase Blood Test

$38.00 AUD

Want to check your ALP level as part of assessing your liver, bile duct, or bone health?

Measures ALP enzyme levels indicating liver and bone activity. Elevated results point to liver disease, bile duct obstruction, or bone disorders requiring further differentiation.
Collection Location
Specimen Type

You will be emailed a referral to take to your local collection centre. If you ever have any questions, we're here to help.

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How It Works

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1
Order a test

Order a test

Order the private test that suits you and your goals. After ordering, you will receive your referral by email.

2
Collect the sample

Collect the sample

Attend one of our 4000+ partner collection centres throughout Australia. Search locations.

3
Receive your results

Receive your results

View all your lab results in your secure health dashboard. Easy!

Overview

Alkaline phosphatase is an enzyme produced primarily by your liver and bones. The ALP test measures blood levels of this enzyme to screen for conditions affecting either organ system.

Elevated ALP commonly indicates liver disease, bile duct obstruction, or bone disorders. However, a single ALP result cannot distinguish between sources—the liver and bones produce the same enzyme. Mildly elevated levels also occur normally during bone growth in children and adolescents, pregnancy, and healing fractures.

This test suits Australians with suspected liver or bone conditions, those with unexplained symptoms suggesting either system, or as part of routine liver function assessment. Abnormal results typically prompt additional testing to clarify the source and guide appropriate treatment.

Symptoms

Suited to people investigating symptoms such as jaundice, upper abdominal pain, or bone pain, monitoring known liver or bile duct conditions, or following up an abnormal result from a previous liver function panel. ALP is also elevated in conditions affecting bone turnover such as Paget's disease.

Questions

  • Alkaline phosphatase (ALP) is an enzyme found in the liver, bile ducts, bone, kidneys, and intestines. Blood levels rise when these tissues are under stress. The test helps your practitioner investigate liver, bile duct, and bone conditions.
  • Fasting is not required. You can eat and drink normally. Let your practitioner know about any medications you take regularly, as some can affect ALP levels.
  • Common causes include bile duct obstruction, liver disease, and bone conditions such as Paget's disease or bone metastases. ALP is also naturally higher in growing children, pregnant women, and people who have recently had a fracture. Your practitioner will assess the result in context.
  • A standard ALP test measures total ALP from all sources. If the source is unclear, your practitioner may request an ALP isoenzymes test, which separates the liver fraction from the bone fraction to help pinpoint the cause.
  • Not necessarily. Mildly elevated ALP is common and can have benign or temporary causes, including medications, certain blood types after eating, and pregnancy. Your practitioner will consider the degree of elevation alongside your other results and symptoms.
  • Results are sent directly to you via the Bloody Good Tests platform. Share them with your GP or healthcare practitioner for interpretation in the context of your symptoms and health history.

Dr. Vu Tran
Bloody Good’s Chief Medical Officer

Biomarker Tested

How to prepare

No fasting is required for an ALP test. Drink water as normal.

Let your practitioner know about any medications you take, as some can raise ALP levels. Eating a fatty meal can transiently increase ALP in people with certain blood types, though the clinical significance of this is usually minor. A healthcare professional will take a blood sample from a vein in your arm.

After the test

Share your results with your GP or relevant specialist. If your ALP is elevated, your practitioner may request additional tests such as GGT, ALT, bilirubin, or an ALP isoenzymes test to determine whether the rise is coming from the liver or the bones.

If your result is within the normal range but you have ongoing symptoms, your practitioner may investigate other causes.

Your test results will be available in your private dashboard. If there are any urgent issues, we'll let you know so you can follow up with your health professional.

Understanding results

Results are reported in units per litre (U/L). Reference ranges vary between laboratories and differ significantly by age, sex, and pregnancy status. Adults typically fall within the range of 30 to 120 U/L, though laboratories may use slightly different values.

Elevated ALP may be associated with bile duct obstruction, liver disease, bone disorders (including Paget's disease, bone metastases, or fractures), or conditions causing increased bone turnover. Mildly raised ALP is common and can have benign causes. Significantly elevated ALP warrants further investigation to determine the source.

Your practitioner will review your ALP result alongside other liver markers, symptoms, and clinical history before making any recommendations.

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Frequently Asked Questions

Most collection centres accept walk-ins. Some may require a booking - check details when you click on your chosen location.

If your test needs fasting, we’ll include that in your instructions after you order. Fasting usually means no food for 8–12 hours, but water is fine.

Just your pathology referral form (we email it to you)

Of course. Just maybe don’t bring the friend who faints at the sight of blood.

They’re the highly trained professionals who take your blood sample - with a steady hand and a sharp needle. They love blood, but don’t worry… they’re not vampires. Just legends who make blood tests quick, clean, and (almost) painless.

Some of our tests include Urine, Stool, Saliva and more. Each test will have a clear description on what sample you will need to give and instructions on how.