Hello
Thank you for sharing your health concerns. Let me address your findings systematically:
1. Elevated
Alkaline Phosphatase (122 U/L)** - While mildly high, this could relate to:
- Your severely low
Vitamin D (2.72 ng/mL) (deficiency can cause bone-derived ALP elevation)
- Mild
liver involvement (though SGPT at 36.7 is only slightly elevated)
- The hiatus hernia is unlikely to be connected
2. Critical Next Steps:
- Immediate Vitamin D supplementation (your level is dangerously low)
- Liver ultrasound to rule out biliary issues
- Bone profile t (
calcium, phosphorus, PTH) as vitamin D deficiency affects bones
- Review of medications/supplements that may affect liver enzymes
3. Stomach issues despite normal endoscopy may need:
- Gastric emptying studies
- Food intolerance testing
Your case requires **detailed evaluation** as these findings (especially the severe vitamin D deficiency) can have systemic effects. I recommend scheduling a consultation for personalized management.
You can reach me at **eight zero zero nine eight two one three three two** on WhatsApp to discuss further.